Downloads
Abstract
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) is a rare genetic disorder characterized by the replacement of the right ventricular myocardium with fibrous and fatty tissue, increasing the risk of ventricular arrhythmias and sudden cardiac death (SCD), particularly in young people and athletes. We would like to present a case report of a 23-year-old female who presented with out-of-hospital cardiac arrest due to ventricular fibrillation. Initial resuscitative approaches included cardiopulmonary resuscitation, defibrillation shock and administration of amiodarone, followed by intensive care management. The patient was diagnosed with ARVC and underwent implantable cardioverter-defibrillator (ICD) placement for secondary prevention of SCD. With a review of medical literature, we would like to discuss our approach, diagnosis, and treatment for ARVC.
References
Krahn AD, Wilde AAM, Calkins H, La Gerche A, CadrinTourigny J, Roberts JD, et al. Arrhythmogenic Right Ventricular Cardiomyopathy. JACC Clin Electrophysiol. 2022;8(4):533-553.
Calkins H. Arrhythmogenic right ventricular dysplasia/ cardiomyopathy-three decades of progress. Circ J. 2015;79(5):901-13.
Shah SN, Umapathi KK, Rout P, Horenstein MS, Oliver TI, Arrhythmogenic Right Ventricular Cardiomyopathy, in StatPearls. 2024, StatPearls Publishing
Corrado D, Link MS, Calkins H. Arrhythmogenic Right Ventricular Cardiomyopathy. N Engl J Med. 2017;376(1):61-72.
Marcus FI, McKenna WJ, Sherrill D, Basso C, Bauce B, Bluemke DA, et al. Diagnosis of Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia. Circulation. 2010; 121(13):1533-1541.
Romero J, Mejia-Lopez E, Manrique C, Lucariello R. Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC/D): A Systematic Literature Review. Clinical Medicine Insights: Cardiology. 2013;7:CMC.S10940.
Pinamonti B, Brun F, Mestroni L, Sinagra G. Arrhythmogenic right ventricular cardiomyopathy: From genetics to diagnostic and therapeutic challenges. World J Cardiol. 2014;6(12):1234-44.
Zeppenfeld K, Tfelt-Hansen J, de Riva M, Winkel BG, Behr ER, Blom NA, et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart J. 2022;43(40):3997-4126.
Graziano F, Zorzi A, Cipriani A, De Lazzari M, Bauce B, Rigato I, et al. The 2020 “Padua Criteria” for Diagnosis and Phenotype Characterization of Arrhythmogenic Cardiomyopathy in Clinical Practice. J Clin Med. 2022;11(1).
Hoorntje ET, te Rijdt WP, James CA, Pilichou K, Basso C, Judge DP, et al. Arrhythmogenic cardiomyopathy: pathology, genetics, and concepts in pathogenesis. Cardiovascular Research. 2017;113(12):1521-1531.
Corrado D, Wichter T, Link MS, Hauer R, Marchlinski F, Anastasakis A, et al. Treatment of arrhythmogenic right ventricular cardiomyopathy/dysplasia: an international task force consensus statement. Eur Heart J. 2015;36(46):3227-37.
Gasperetti A, James CA, Carrick RT, Protonotarios A, te Riele ASJM, Cadrin-Tourigny J, et al. Arrhythmic risk stratification in arrhythmogenic right ventricular cardiomyopathy. EP Europace. 2023;25(11):euad312.
Al-Gobari M, El Khatib C, Pillon F, Gueyffier F. β-Blockers for the prevention of sudden cardiac death in heart failure patients: a meta-analysis of randomized controlled trials. BMC Cardiovasc Disord. 2013;13:52.
Philips B, Madhavan S, James C, Tichnell C, Murray B, Needleman M, et al. High Prevalence of Catecholaminefacilitated Focal Ventricular Tachycardia in Patients With Arrhythmogenic Right Ventricular Dysplasia/ Cardiomyopathy. Circulation: Arrhythmia and Electrophysiology. 2013;6(1):160-166.
| Published | 30-11-2024 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 16 No. 8 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.16.8.13 | |
| Keywords | Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC), sudden cardiac death (SCD), ventricular arrhythmias, implantable cardioverter-defibrillator (ICD) |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2024 Journal of Clinical Medicine Hue Central Hospital