Sustained ventricular tachycardia in an apparently healthy heart: a very localized left dominant arrhythmogenic cardiomyopathy

Alberto Cresti; Francesco De Sensi; Silva Severi; Gennaro Miracapillo

doi:10.1016/s0972-6292(16)30819-1

Sustained ventricular tachycardia in an apparently healthy heart: a very localized left dominant arrhythmogenic cardiomyopathy

Indian Pacing Electrophysiol J. 2014 Dec 15;14(6):301-5. doi: 10.1016/s0972-6292(16)30819-1. eCollection 2014 Nov-Dec.

Authors

Alberto Cresti¹, Francesco De Sensi¹, Silva Severi¹, Gennaro Miracapillo¹

Affiliation

¹ Cardiology Department, Misericordia Hospital, Grosseto, Italy.

Abstract

A 62-year-old man admitted for presyncope presented two symptomatic sustained ventricular tachycardia with right bundle branch morphology and inferior axis suggesting a pathology of the left ventricular lateral wall, the site where Cardiac Magnetic Resonance demonstrated a thinned, hypokinetic segment with fibro-fatty subepicardial infiltration. A very localized Left Dominant Arrhythmogenic Cardiomyopathy was diagnosed and an ICD implanted.

Keywords: Arrhythmogenic Cardiomyopathy; Cardiac Magnetic Resonance; Ventricular Tachycardia.