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 |
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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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