Arrhythmogenic Right Ventricular Cardiomyopathy as a Cause of Palpitations and Syncope in an Otherwise Healthy Active Duty Female

Autor: John Blickle, Ramesh Venkataraman, Robert D McLeroy
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Holter monitor
medicine.medical_treatment
Population
0211 other engineering and technologies
Electric Countershock
02 engineering and technology
Right ventricular cardiomyopathy
Syncope
Sudden cardiac death
03 medical and health sciences
Young Adult
0302 clinical medicine
Internal medicine
medicine
Palpitations
Humans
030212 general & internal medicine
education
Arrhythmogenic Right Ventricular Dysplasia
021110 strategic
defence & security studies

education.field_of_study
medicine.diagnostic_test
business.industry
Public Health
Environmental and Occupational Health

Sotalol
Arrhythmias
Cardiac

General Medicine
medicine.disease
Implantable cardioverter-defibrillator
Arrhythmogenic right ventricular dysplasia
Death
Sudden
Cardiac

cardiovascular system
Cardiology
Female
medicine.symptom
business
medicine.drug
Zdroj: Military medicine. 185(11-12)
ISSN: 1930-613X
Popis: Identifying the cause of palpitations and syncope in the healthy, active duty military population is important. Most often, the causes are benign, but more malignant etiologies should not be overlooked. In this case, we present a 22-year-old active duty female soldier who developed exercise intolerance, palpitations, and ultimately one episode of exercise-induced syncope. Outpatient evaluation with Holter monitor revealed sustained ventricular tachycardia while exercising. Electrocardiogram revealed findings concerning for arrhythmogenic right ventricular cardiomyopathy based on the 2010 Revised Task Force Criteria. Further investigation with cardiac magnetic resonance imaging helped confirm the diagnosis. Sotalol was used as an antiarrhythmic therapy and an automatic implantable cardioverter defibrillator was implanted to reduce the risk of sudden cardiac death. This case represents an uncommon cause of palpitations and syncope. Arrhythmogenic right ventricular cardiomyopathy should be on the differential diagnosis in the active duty population who present with exercise-induced syncope.
Databáze: OpenAIRE
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