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KMID : 1149520200040030081
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Cardiovasclar Imaging Asia
2020 Volume.4 No. 3 p.81 ~ p.84
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Left-Dominant Arrhythmogenic Cardiomyopathy: A Rare and Frequently Misdiagnosed Cardiomyopathy Associated with Heart Failure
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Cui Chen
Wang Xinyu
Zhao Shihua
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Abstract
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A 35-year-old male with 7-year history of exertional dyspnea and abdominal distention had frequent premature ventricular contractions detected by Holter monitoring. Cardiovascular magnetic resonance (CMR) imaging demonstrated a significantly dilated left ventricle (LV) with severely reduced global systolic function. Coronary arterial stenosis was excluded with CT coronary angiography. However, transmural late gadolinium enhancement was detected by CMR in the lateral wall of the LV. The patient received cardiac transplantation. The diagnosis of left dominant arrhythmogenic right ventricular cardiomyopathy was made.
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KEYWORD
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Cardiomyopathy, MRI, Fibrosis, Arrhythmia
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