Cardiology journal · 2010
Arrhythmogenic right ventricular cardiomyopathy/dysplasia in Iraq.
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Al-Hamdi Amar, Al-Kinani Tahseen Ali, Al-Khafaji Adnan Taan, Hamed Mouayed Basheer, Al-Mayahi Mohammed Hashim, Al-Sudani Nazar Hassan
Аннотация
BACKGROUND: Arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) is a disorder that involves replacement of the right ventricular myocardium with fibro-fatty tissue. Ventricular tachycardia is a main presenting feature. There are no known reports of this disease from the Arab countries in the Middle East. This is the first report of 34 patients from Iraq.
METHODS: Thirty four patients with ARVC/D diagnosed from January 2003 to May 2007 according to the International Task Force criteria were included in this study.
RESULTS: All patients presented with ventricular tachycardia of left bundle branch block morphology. The following findings were seen on the 12-lead electrocardiography during sinus rhythm: T wave inversion V1-V3 or beyond in 80%, epsilon wave in 28%, and parietal block in 48%. Right ventricular enlargement by echocardiography was seen in 69%. Twenty two per cent had a family history of sudden cardiac death. All patients were treated with implanted cardioverter-defibrillators.
CONCLUSIONS: ARVC/D is a disease seen in Iraq. It requires a high diagnostic suspicion with verification using the international task force criteria.
METHODS: Thirty four patients with ARVC/D diagnosed from January 2003 to May 2007 according to the International Task Force criteria were included in this study.
RESULTS: All patients presented with ventricular tachycardia of left bundle branch block morphology. The following findings were seen on the 12-lead electrocardiography during sinus rhythm: T wave inversion V1-V3 or beyond in 80%, epsilon wave in 28%, and parietal block in 48%. Right ventricular enlargement by echocardiography was seen in 69%. Twenty two per cent had a family history of sudden cardiac death. All patients were treated with implanted cardioverter-defibrillators.
CONCLUSIONS: ARVC/D is a disease seen in Iraq. It requires a high diagnostic suspicion with verification using the international task force criteria.
Предметные рубрики MeSH
AdultArrhythmogenic Right Ventricular DysplasiaBundle-Branch BlockDeath, Sudden, CardiacDefibrillators, ImplantableEchocardiographyElectric CountershockElectrocardiographyElectrophysiologic Techniques, CardiacFemaleHumansIraqMalePredictive Value of TestsTachycardia, VentricularTreatment OutcomeYoung Adult