Arrhythmogenic Right Ventricular Cardiomyopathy: Difference between revisions

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*[[ICD]] implantation can be considered for the prevention of sudden cardiac death in patients with ARVC with extensive disease, including those with left ventricular involvement, 1 or more affected family member with SCD (Sudden Cardiac Death), or undiagnosed syncope when [[Ventricular Tachycardia|ventricular tachycardia]] or [[Ventricular Fibrillation|ventricular Fibrillation]] has not been excluded as the cause of syncope, who are receiving chronic optimal medical therapy, and who have reasonable expectation of survival with a good functional status for more than 1 y.
*[[ICD]] implantation can be considered for the prevention of sudden cardiac death in patients with ARVC with extensive disease, including those with left ventricular involvement, 1 or more affected family member with SCD (Sudden Cardiac Death), or undiagnosed syncope when [[Ventricular Tachycardia|ventricular tachycardia]] or [[Ventricular Fibrillation|ventricular Fibrillation]] has not been excluded as the cause of syncope, who are receiving chronic optimal medical therapy, and who have reasonable expectation of survival with a good functional status for more than 1 y.
*Radiofrequency [[ablation]] can be useful as adjunctive therapy in management of patients with ARVC with recurrent [[Ventricular Tachycardia|ventricular tachycardia]], despite optimal antiarrhythmic drug therapy.
*Radiofrequency [[ablation]] can be useful as adjunctive therapy in management of patients with ARVC with recurrent [[Ventricular Tachycardia|ventricular tachycardia]], despite optimal antiarrhythmic drug therapy.
== ECG in ARVD==
On [http://www.arvd.org ARVD.org] the latest ECG criteria for ARVD are updated. To enhance detection of ECG abnormalities specific settings to record an ARVD ECG can be used: [http://arvd.org/ECG.pdf ECG settings to enhance recording of Epsilon waves].


<gallery>
In patients suspected to have ARVD both a normal 12 lead ECG and a Signal Averaged ECG ([[SAECG]]) are useful.
 
<gallery examples of ECGs of patients with ARVD>
Image:arvd_ecg1.png
Image:arvd_ecg1.png
Image:arvd_ecg2.png
Image:arvd_ecg2.png