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Multimodality diagnosis of arrhythmogenic cardiomyopathy.


Related Institution

Department of Adult Cardiology - Philippine Heart Center

Publication Information

Publication Type
Research Project


Ventricular Tachycardia (VT) is one of the ominous arrhythmias detected during cardiac arrest. It may evolve into an unstable hemodynamic status and progress to sud-den cardiac death. This case emphasizes a multi-modality approach to the diagnosis of a rare case of hereditary cardiomyopathy wherein a 51 year old male presented with VT of various origins in the right ventricle. Upon conversion to sinus rhythm after cardioversion and/or defibrillation, electrocardiographic tracings revealed T wave inversions with an epsilon wave. Transthoracic echocardiogram revealed dilation of the right sided cham-bers, including the right ventricular outflow tract in the absence of a demonstrable shunt and severe right ventricle hypokinesia. Magnetic resonance imaging (MRI) revealed mul-tiple right ventricle aneurysms, dyskinesia, and depressed ventricular function. An im-plantable cardioverter defibrillator (ICD) inserted controlled the recurrences of VT but did not prevent deterioration of a failing right ventricle.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library EP.R.009.16 Fulltext Print Format

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