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KMID : 1011920120130010045
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International Journal of Arrhythmia
2012 Volume.13 No. 1 p.45 ~ p.47
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A patient with typical ECG features of arrhythmogenic right ventricular cardiomyopathy
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Cho Yong-Keun
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Abstract
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Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a type of progressive cardiomyopathy characterized by fibrofatty infiltration of the myocardium, especially the right ventricle. This pathologic process may induce typical ECG features of ARVC such as T-wave inversion and localized QRS widening in the right precordial leads and epsilon wave. We report the case of a middle-aged woman who presented with sustained LBBB-type ventricular tachycardia with inferior axis. Routine ECG after DC cardioversion showed T-wave inversion in V1~V4 and epsilon wave. RV enlargement and apical aneurysms of both ventricles were also observed on 2-D echocardiography. Diagnosis of ARVC was possible with only routine ECG and 2-D echocardiography.
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KEYWORD
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arrhythmogenic right ventricular cardiomyopathy , ECG , epsilon wave
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