- 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
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It is not meant to replace the advice of a health professional.