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Arrhythmogenic right ventricular cardiomyopathy

Publication at Faculty of Medicine in Hradec Králové |
2014

Abstract

Arrhythmogenic right ventricular cardiomyopathy is a genetic form of cardiomyopathy usually transmitted with an autosomal dominant pattern. It primary affects the right ventricle, but may involve also left ventricle and lead to biventricular heart failure, ventricular tachyarrhythmia's and sudden cardiac death.

Pathologically is characterized by myocardial atrophy and fibro-fatty replacement. Diagnosis is difficult due to broad spectrum of phenotypic variations, therefore diagnostic criteria combined history, electrocardiography, echocardiography and magnetic resonance imaging have been developed.

Basic diagnostic evaluation is early detection, risk stratification and family screening. Main therapeutic goal is sudden cardiac death prevention - treatment of arrhythmias and cardioverter-defibrilator implantation.