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Indian Journal of Emergency Medicine

Volume  6, Issue 3, July – September 2020, Pages 199-203
 

Case Report

Young Male with Recurrent Syncope: A Case Report

Jerry Jacob1, Karthik Reddy2, Satish Chandra Bellave3, Kiron Varghese

1,3Junior Resident, 2Assistant Professor, Department of Emergency, 4Professor and HOD, Department of Cardiology Medicine, St. John’s Medical College Hospital, Bengaluru 560034, India

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.6320.9

Abstract

 Arrythmogenic right ventricular dysplasia/cardiomyopathy
(ARVC/D) is an inherited rare cause of cardiomyopathy characterised
by fibro-fatty infiltration of right ventricle. ARVC is an under-recognized
condition,commonly present in young adults with syncope or sudden
cardiac death.Here we present the case of a 20 year old male, presentedwith history of nausea, chest discomfort and loss of consciousness for 2-3 minutes on exertion. History of similar episodes in the past. ECG revealed T wave inversions in precordial leads with poor R wave progression andECHO revealed dilated right ventricle (RV) with moderate RV dysfunction.Diagnosis of ARVD was made and treated with antiarrhythmic drugs and AICD (Automated Implantable Cardioverter Defibrillator). It is important to identify the ECG changes of ARVD,there by preventing the potentially lethal consequences.


Keywords: Arrythmogenic Right Ventricular Dysplasia/Cardiomyopathy
(ARVD/C); Young Adults; Right Ventricle; T wave Inversions; AICD


Corresponding Author : Jerry Jacob.