A case of arrhythmogenic right ventricular cardiomyopathy in a 70-year-old patient.
A 70-year-old man was admitted because of syncope and dyspnea. Two months before admission, exertional dyspnea occurred with syncope. Ventricular tachycardia with a monomorphic left bundle-branch block configuration was detected. An echocardiographic examination showed severe dilatation and diffuse, severe hypokinesis of the right ventricle, with thrombus formation in the right ventricular apex. Based on the clinical picture, the patient was diagnosed with arrhythmogenic right ventricular cardiomyopathy (ARVC). This case emphasizes the need for early identification of RV abnormalities in patients with ARVC to determine appropriate therapy.
Department of Laboratory Medicine, Faculty of Medicine, Shimane University, Izumo, Japan.
Eri
E
Nitta
Department of Laboratory Medicine, Faculty of Medicine, Shimane University, Izumo, Japan.
Hiroyuki
H
Yoshitomi
Division of Cardiology, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo, 693-8501, Japan.
Takashi
T
Sugamori
Department of Laboratory Medicine, Faculty of Medicine, Shimane University, Izumo, Japan.
Asako
A
Fukuma
Department of Laboratory Medicine, Faculty of Medicine, Shimane University, Izumo, Japan.
Hiroshi
H
Shibata
Division of Cardiology, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo, 693-8501, Japan.
Tomoko
T
Adachi
Division of Cardiology, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo, 693-8501, Japan.
Saki
S
Ito
Division of Cardiology, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo, 693-8501, Japan.
Nobuyuki
N
Takahashi
Department of Laboratory Medicine, Faculty of Medicine, Shimane University, Izumo, Japan.
Atsushi
A
Nagai
Division of Cardiology, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo, 693-8501, Japan. kaz@med.shimane-u.ac.jp.
Kazuaki
K
Tanabe
Arrhythmogenic right ventricular cardiomyopathy; Echocardiography