- Characterized by ventricular arrhythmias
- Presents between ages 10-50 (mean age of diagnosis 30 years)
- Prevalence is 1 in 2000 to 1 in 5000
- Characterized by scarred appearance with fibrous replacement of the myocardium in the inflow trace, outflow tract, and apex of the RV (triangle of dysplasia)
- Rarely diagnosed in the U.S.; potentially from under-recognition of the disease
- Caused by mutations in a variety of genes, most of which encode desmosomal proteins
Posted 01/23/17 09:05:58 AM by Ying Liu
Workup of Syncope --> high yield and cost-effective approach
- History and Physical most high yield
- Ask about family history and get a sense of how complete it is
- Can do maneuvers during EKG to increase yield
- CXR to look for abnormalities of the heart
- Potentially TTE if any abnormalities or alarm bells on the above tests
- May also need longterm monitoring such as holter
- EEG, CT Head and MRI largely unhelpful
Posted 01/23/17 09:08:55 AM by Ying Liu
For further reading...
Posted 01/23/17 09:06:33 AM by Ying Liu
Created by Christopher Kelly
Know a hypochondriac? Get them the best-selling book 'AM I DYING?!: A Complete Guide to Your Symptoms, and What to Do Next'
The information on the website does not constitute official guidelines except where explicitly stated.
It is not meant to replace the advice of a health professional.