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European Journal of Echocardiography 2004 5(5):394-398; doi:10.1016/j.euje.2004.04.005
© 2004 by European Society of Cardiology
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Copyright © 2004, The European Society of Cardiology

Arrhythmogenic right ventricular dysplasia presenting as acute coronary syndrome: a case report

Siddiq I. Khalil*, Amjad Kamal and Shakeel Ahmad

Department of Medicine and Cardiology, Almana General Hospital, PO Box 10366, Jubail 31961, Saudi Arabia

Received 14 November 2003; received in revised form 9 April 2004; accepted after revision 19 April 2004.

* Corresponding author. Tel.: +966-334-12000; fax: +966-341-6950. sidkhalil{at}awalnet.net.sa


  Abstract

Arrhythmogenic right ventricular dysplasia (ARVD) is underdiagnosed cardiomyopathy which commonly presents in young adults with ventricular tachycardia or sudden death. We report a case of ARVD presenting with features of acute coronary syndrome. The suspicion of ARVD came only when echocardiogram revealed abnormal shape and wall motion of right ventricle, which was later confirmed by right ventricular angiogram. The diagnosis of ARVD was discussed and the literature reviewed.

Keywords: Right ventricular cardiomyopathy; Dilated right ventricle; Ventricular tachycardia; Sudden death; Right ventriculography; Right ventricular dysplasia


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