A 53-year-old woman was referred for ventricular fibrillation with resuscitation. A CT-angiography showed signs of a right ventricular enlargement without obvious cause. A cardiac MRI demonstrated a dilated and hypokinetic right ventricle with extensive late gadolinium enhancement. Arrhythmogenic right ventricular dysplasia (ARVD) was suspected according to the "revised ARVD task force criteria...

The dimension, contractility, and regional wall motion of the right and left ventricles were scored on the angiograms of 13 patients with arrhythmogenic right ventricular dysplasia. In 10 patients the right ventricle was enlarged, in eight the contractility of the right ventricle was reduced, and in all but one patient there were regional wall motion abnormalities of the right ventricle. The mo...

Cardiac CT angiography has become an important tool for the diagnosis and treatment of congestive heart failure. Differentiation of ischemic from nonischemic cardiomyopathy; evaluation of myocardial perfusion; characterization of hypertrophic cardiomyopathy, left ventricular noncompaction, and arrhythmogenic right ventricular dysplasia; and delineation of congenital heart defects and valvular a...

A 46-year-old female under treatment with flecainide for atrial fibrillation developed cardiopulmonary arrest secondary to ventricular fibrillation during an elective laparoscopic cholecystectomy. The ECG after cardioversion demonstrated a prolonged QTc interval with elevated cardiac enzymes. A diagnosis of Takotsubo cardiomyopathy was made after angiography demonstrated normal coronary arterie...

Methods From January 2001 to December 2010, we studied 457 pts (279 males, 178 females; mean age 47±18 yrs) to exclude/confirm a clinical suspicion of ARVC; this suspicion was based on combination of clinical signs and symptoms, 12 leads-ECG data, anamnestic data, electrophysiologic data, and pathologic data, when available. All CMR were performed with a clinical 1.5 T scanner (Signa Excite 2, ...

1. Konstam, M. Heart failure training. J Am Coll Cardiol 2004;44: 1361–2. 2. Naccarelli GV. Does it make sense to train plumbers as electricians? J Am Coll Cardiol 2004;44:1358–60. 3. McAlister FA, Steward S, Ferrua S, McMurray JJJ. Multidisciplinary strategies for the management of heart failure patients at high risk for admission. A systematic review of randomized trials. J Am Coll Cardiol 20...