Arrhythmogenic Right Ventricular Cardiomyopathy Diagnosed during Hospitalization for Cardiac Arrest

• Ochi Masahiko

• Iida Atsuyoshi

• Takahashi Yuka

• Tanaka Masamichi

• Saito Hironori

• Naito Hiromichi

• Mikane Takeshi

• Fuke Soichiro

抄録

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a genetically mediated cardiomyopathy charac-terized by progressive myocardial loss of the right ventricle and its replacement by fibrofatty tissue, causing dyskinesia, aneurysm, and/or arrhythmia. The prevalence of ARVC is estimated to be 1 in 2,000-5,000, with the condition accounting for up to 20% of sudden cardiac deaths in individuals < 35 years old. This report describes the case of 61-year-old Japanese who was diagnosed with ARVC after cardiac arrest (CA) and successful resusci-tation. After the sudden CA, the restoration of spontaneous circulation was achieved with appropriate resusci-tation, followed by the introduction of target temperature management in the intensive care unit. He was diag-nosed with ARVC based on angiography and histology results. An ICD (implantable cardioverter-defibrillator) was implanted, and he was discharged without neurological sequelae 1 month post-CA. ARVC is an important cause of sudden CA, and successfully resuscitated patients with right ventricular dilation should undergo testing to rule out ARVC.

収録刊行物

• Acta Medica Okayama

  Acta Medica Okayama 75 (4), 517-521, 2021-08

  Okayama University Medical School

キーワード

• inverted T-wave
• right ventricular dilatation
• sudden cardiac arrest
• sudden cardiac death

詳細情報

• CRID: 1390009225792256896
• NII論文ID: 120007146031
• NII書誌ID: AA00508441
• ISSN: 0386300X
• DOI: 10.18926/amo/62405
• Web Site: https://ousar.lib.okayama-u.ac.jp/62405
• Web Site: https://search.jamas.or.jp/link/ui/2022251267
• 本文言語コード: en
• データソース種別:
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  • IRDB
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