Unusual serial electrocardiographic changes which progressed to arrhythmogenic right ventricular cardiomyopathy

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Abstract

Left ventricular (LV) involvement in the advanced stage of arrhythmogenic right ventricular cardiomyopathy (ARVC) is a well recognized phenomenon. T wave inversion in the lateral leads has been reported to be an electrocardiographic marker of LV involvement. Variants of ARVC that preferentially affect the left ventricle (left-dominant subtype of arrhythmogenic cardiomyopathy) have recently been recognized. We herein report a case in which an initial electrocardiogram that was similar to the left-dominant subtype of arrhythmogenic cardiomyopathy progressed to definitive ARVC over a period of 7 years. This case supports the hypothesis that LV involvement in ARVC may precede the evident onset of significant RV dysfunction.

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APA

Yoshihara, S., Matsunaga, M., Yaegashi, T., Suzuki, S., Naito, M., & Takehara, Y. (2016). Unusual serial electrocardiographic changes which progressed to arrhythmogenic right ventricular cardiomyopathy. Internal Medicine, 55(9), 1103–1108. https://doi.org/10.2169/internalmedicine.55.5976

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