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Arrhythmogenic right ventricular cardiomyopathy/dysplasia in Iraq
Ist Teil von
Cardiology journal, 2010, Vol.17 (2), p.172-178
Ort / Verlag
Poland: Wydawnictwo Via Medica
Erscheinungsjahr
2010
Quelle
MEDLINE
Beschreibungen/Notizen
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.
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.
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.
ARVC/D is a disease seen in Iraq. It requires a high diagnostic suspicion with verification using the international task force criteria.