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Pediatric Cardiology

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01.07.2008 | Case Report

The Challenge of Diagnosing Arrhythmogenic Right Ventricular Cardiomyopathy in the Young

verfasst von: Shubhayan Sanatani, Walter Duncan, Suzanne Chan

Erschienen in: Pediatric Cardiology | Ausgabe 4/2008

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Abstract

We report two cases of arrhythmogenic right ventricular cardiomyopathy (ARVC) in the pediatric age group. In both cases, the diagnosis was considered and pursued but would not be made utilizing Task Force Criteria. The diagnosis was made based on the morphology of a single beat during exercise testing. We illustrate the difficulty of diagnosing ARVC in the young even with a heightened index of suspicion.

Ainsworth CD, Skanes AC, Klein GJ, Gula LJ, Yee R, Krahn AD (2006) Differentiating arrhythmogenic right ventricular cardiomyopathy from right ventricular outflow tract ventricular tachycardia using multilead QRS duration and axis. Heart Rhythm 3(4):416–423PubMedCrossRef

Brignole M, Alboni P, Benditt DG, Bergfeldt L, Blanc JJ, Thomsen PE, Gert van Dijk J, Fitzpatrick A, Hohnloser S, Janousek J, Kapoor W, Kenny RA, Kulakowski P, Masotti G, Moya A, Raviele A, Sutton R, Theodorakis G, Ungar A, Wieling W, Priori SG, Garcia MA, Budaj A, Cowie M, Deckers J, Burgos EF, Lekakis J, Lindhal B, Mazzotta G, Morais J, Oto A, Smiseth O, Menozzi C, Ector H, Vardas P (2004) Guidelines on management (diagnosis and treatment) of syncope-update 2004. Executive Summary. Eur Heart J 25(22):2054–2072PubMedCrossRef

Calkins H (2006) Arrhythmogenic right-ventricular dysplasia/cardiomyopathy. Curr Opin Cardiol 21(1):55–63PubMedCrossRef

Corrado D, Thiene G (2006) Arrhythmogenic right ventricular cardiomyopathy/dysplasia: clinical impact of molecular genetic studies. Circulation 113(13):1634–1637PubMedCrossRef

Dalal D, James C, Devanagondi R, Tichnell C, Tucker A, Prakasa K, Spevak PJ, Bluemke DA, Abraham T, Russell SD, Calkins H, Judge DP (2006) Penetrance of mutations in plakophilin-2 among families with arrhythmogenic right ventricular dysplasia/cardiomyopathy. J Am Coll Cardiol 48(7):1416–1424PubMedCrossRef

Fletcher A, Ho SY, McCarthy KP, Sheppard MN (2006) Spectrum of pathological changes in both ventricles of patients dying suddenly with arrhythmogenic right ventricular dysplasia. Relation of changes to age. Histopathology 48(4):445–452PubMedCrossRef

Frias PA (2005) Hypertrophic cardiomyopathy and arrhythmogenic right ventricular dysplasia in young patients. Semin Pediatr Neurol 12(1):25–31PubMedCrossRef

Hamid MS, Norman M, Quraishi A, Firoozi S, Thaman R, Gimeno JR, Sachdev B, Rowland E, Elliott PM, McKenna WJ (2002) Prospective evaluation of relatives for familial arrhythmogenic right ventricular cardiomyopathy/dysplasia reveals a need to broaden diagnostic criteria. J Am Coll Cardiol 40(8):1445–1450PubMedCrossRef

Hamilton R, Kirsh JA, Gross GJ, Basciano A, De Souza L, Stephenson EA (2007) Utility of signal-average electrocardiography in pediatric ARVC. Heart Rhythm 4(5S):S44

10.

Harris KC, Potts JE, Fournier A, Gross GJ, Kantoch MJ, Cote JM, Sanatani S (2006) Right ventricular outflow tract tachycardia in children. J Pediatr 149(6):822–826PubMedCrossRef

11.

Kaplan SR, Gard JJ, Protonotarios N, Tsatsopoulou A, Spiliopoulou C, Anastasakis A, Squarcioni CP, McKenna WJ, Thiene G, Basso C, Brousse N, Fontaine G, Saffitz JE (2004) Remodeling of myocyte gap junctions in arrhythmogenic right ventricular cardiomyopathy due to a deletion in plakoglobin (Naxos disease). Heart Rhythm 1(1):3–11PubMedCrossRef

12.

Kies P, Bootsma M, Bax J, Schalij MJ, van der Wall EE (2006) Arrhythmogenic right ventricular dysplasia/cardiomyopathy: screening, diagnosis, and treatment. Heart Rhythm 3(2):225–234PubMedCrossRef

13.

Kim RJ, Iwai S, Markowitz SM, Shah BK, Stein KM, Lerman BB (2007) Clinical and electrophysiological spectrum of idiopathic ventricular outflow tract arrhythmias. J Am Coll Cardiol 49(20):2035–2043PubMedCrossRef

14.

Kosinski D, Grubb BP, Karas BJ, Frederick S (2000) Exercise-induced neurocardiogenic syncope: clinical data, pathophysiological aspects, and potential role of tilt table testing. Europace 2(1):77–82PubMedCrossRef

15.

Lerman BB, Stein KM, Markowitz SM, Mittal S, Slotwiner DJ (2000) Ventricular arrhythmias in normal hearts. Cardiol Clin 18(2):265–291, viiPubMedCrossRef

16.

McKenna WJ, Thiene G, Nava A, Fontaliran F, Blomstrom-Lundqvist C, Fontaine G, Camerini F (1994) Diagnosis of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Br Heart J 71:215–218PubMedCrossRef

17.

O’Donnell D, Cox D, Bourke J, Mitchell L, Furniss S (2003) Clinical and electrophysiologic differences between patients with arrhythmogenic right ventricular dysplasia and right ventricular outflow tract tachycardia. Eur Heart J 24(9):801–810PubMedCrossRef

18.

Sanatani S, Peirone A, Chiu C, Human DG, Gross GJ, Hamilton RM (2002) Use of an implantable loop recorder in the evaluation of children with congenital heart disease. Am Heart J 143(2):366–372PubMedCrossRef

19.

Sen-Chowdhry S, Syrris P, Ward D, Asimaki A, Sevdalis E, McKenna WJ (2007) Clinical and genetic characterization of families with arrhythmogenic right ventricular dysplasia/cardiomyopathy provides novel insights into patterns of disease expression. Circulation 115(13):1710–1720PubMedCrossRef

20.

Tabib A, Loire R, Chalabreysse L, Meyronnet D, Miras A, Malicier D, Thivolet F, Chevalier P, Bouvagnet P (2003) Circumstances of death and gross and microscopic observations in a series of 200 cases of sudden death associated with arrhythmogenic right ventricular cardiomyopathy and/or dysplasia. Circulation 108(24):3000–3005PubMedCrossRef

21.

van Tintelen JP, Entius MM, Bhuiyan ZA, Jongbloed R, Wiesfeld AC, Wilde AA, van der Smagt J, Boven LG, Mannens MM, van Langen IM, Hofstra RM, Otterspoor LC, Doevendans PA, Rodriguez LM, van Gelder IC, Hauer RN (2006) Plakophilin-2 mutations are the major determinant of familial arrhythmogenic right ventricular dysplasia/cardiomyopathy. Circulation 113(13):1650–1658PubMedCrossRef

Titel: The Challenge of Diagnosing Arrhythmogenic Right Ventricular Cardiomyopathy in the Young
verfasst von: Shubhayan Sanatani
Walter Duncan
Suzanne Chan
Publikationsdatum: 01.07.2008
Verlag: Springer-Verlag
Erschienen in: Pediatric Cardiology / Ausgabe 4/2008
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-008-9238-8

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