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Arrhythmogenic right ventricular cardiomyopathy

Carol Gemayel, MD^*, Antonio Pelliccia, MD and Paul D. Thompson, MD, FACC^*,*

^* Hartford Hospital, Division of Cardiology, Hartford, Connecticut, USA
Institute of Sports Science, Rome, Italy

View larger version (140K): [in a new window]   Figure 1 Heart of a 37-year-old woman admitted with heart failure who suffered a subsequent cardiac arrest. The arrow identifies fatty infiltration of the right ventricle.

View larger version (178K): [in a new window]   Figure 2 Trichrome-stained section from the right ventricle of the patient from Figure 1 showing increasing fibrous and adipose tissue throughout the ventricular wall (x200).

View larger version (10K): [in a new window]   Figure 3 Electrocardiogram of a 32-year-old woman with arrhythmogenic right ventricular cardiomyopathy showing right precordial T-wave inversions.

View larger version (16K): [in a new window]   Figure 4 Electrocardiogram (ECG) of an 18-year-old male patient diagnosed with arrhythmogenic right ventricular cardiomyopathy by cardiac angiography and refractory ventricular tachycardia requiring a defibrillator. The ECG is magnified to demonstrate the epsilon waves (arrow). The QRS duration is greater in the right ventricular leads than it is in V6. The ECG also shows biatrial enlargement.