A Case Report of a Young Patient Presenting With Syncope Secondary to Arrhythmogenic Ventricular Cardiomyopathy
Arrhythmogenic ventricular cardiomyopathy is an inherited condition mainly affecting adults. A 35-year-old Asian male patient presented with syncope while walking home. He experienced a number of episodes of light-headedness and dizziness over the past few weeks. A clinical examination found visible...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-01, Vol.15 (1), p.e33731 |
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| creator | Khan, Zahid Rayner, Tom Sethumadhavan, Dinesh Hamid, Sahar |
| description | Arrhythmogenic ventricular cardiomyopathy is an inherited condition mainly affecting adults. A 35-year-old Asian male patient presented with syncope while walking home. He experienced a number of episodes of light-headedness and dizziness over the past few weeks. A clinical examination found visible injuries to his face and hands. An electrocardiogram showed right axis deviation and right bundle branch block. Echocardiography showed normal biventricular function and the left ventricular ejection fraction was > 55%. A computerized tomography scan of the head and face showed a small fracture to the superior maxillary wall and a computerized tomography pulmonary angiogram demonstrated an inflammatory nodule with right upper and middle lobes changes as well as right hilar lymphadenopathy, suggestive of possible tuberculosis. Blood tests were unremarkable, and troponin was negative. Cardiovascular magnetic resonance imaging showed preserved biventricular function, mild bi-atrial dilatation, and extensive, crescentic-shaped, subepicardial late gadolinium enhancement from basal to apical inferior, basal to apical lateral, and mid to apical anterior segments of the left ventricle suggestive of arrhythmogenic ventricular cardiomyopathy. The patient was commenced on bisoprolol and had an implantable cardioverter defibrillator fitted. He was discharged home with outpatient cardiology follow-up. |
| doi_str_mv | 10.7759/cureus.33731 |
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A 35-year-old Asian male patient presented with syncope while walking home. He experienced a number of episodes of light-headedness and dizziness over the past few weeks. A clinical examination found visible injuries to his face and hands. An electrocardiogram showed right axis deviation and right bundle branch block. Echocardiography showed normal biventricular function and the left ventricular ejection fraction was > 55%. A computerized tomography scan of the head and face showed a small fracture to the superior maxillary wall and a computerized tomography pulmonary angiogram demonstrated an inflammatory nodule with right upper and middle lobes changes as well as right hilar lymphadenopathy, suggestive of possible tuberculosis. Blood tests were unremarkable, and troponin was negative. Cardiovascular magnetic resonance imaging showed preserved biventricular function, mild bi-atrial dilatation, and extensive, crescentic-shaped, subepicardial late gadolinium enhancement from basal to apical inferior, basal to apical lateral, and mid to apical anterior segments of the left ventricle suggestive of arrhythmogenic ventricular cardiomyopathy. The patient was commenced on bisoprolol and had an implantable cardioverter defibrillator fitted. He was discharged home with outpatient cardiology follow-up.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.33731</identifier><identifier>PMID: 36819436</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Antibodies ; Athletes ; Cardiac arrhythmia ; Cardiology ; Cardiomyopathy ; Case reports ; Creatinine ; Disease ; Electrocardiography ; Emergency Medicine ; Genetics ; Hospitals ; Magnetic resonance imaging ; Morphology ; Multidisciplinary teams ; Patients ; Tomography ; Tuberculosis ; Ultrasonic imaging ; Young adults</subject><ispartof>Curēus (Palo Alto, CA), 2023-01, Vol.15 (1), p.e33731</ispartof><rights>Copyright © 2023, Khan et al.</rights><rights>Copyright © 2023, Khan et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Khan et al. 2023 Khan et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c266t-c73ba6f428b2a4f60969b5eca596e9beca06c6ffac4e5636992522c157ca61873</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9927030/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9927030/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36819436$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khan, Zahid</creatorcontrib><creatorcontrib>Rayner, Tom</creatorcontrib><creatorcontrib>Sethumadhavan, Dinesh</creatorcontrib><creatorcontrib>Hamid, Sahar</creatorcontrib><title>A Case Report of a Young Patient Presenting With Syncope Secondary to Arrhythmogenic Ventricular Cardiomyopathy</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Arrhythmogenic ventricular cardiomyopathy is an inherited condition mainly affecting adults. A 35-year-old Asian male patient presented with syncope while walking home. He experienced a number of episodes of light-headedness and dizziness over the past few weeks. A clinical examination found visible injuries to his face and hands. An electrocardiogram showed right axis deviation and right bundle branch block. Echocardiography showed normal biventricular function and the left ventricular ejection fraction was > 55%. A computerized tomography scan of the head and face showed a small fracture to the superior maxillary wall and a computerized tomography pulmonary angiogram demonstrated an inflammatory nodule with right upper and middle lobes changes as well as right hilar lymphadenopathy, suggestive of possible tuberculosis. Blood tests were unremarkable, and troponin was negative. 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He was discharged home with outpatient cardiology follow-up.</description><subject>Antibodies</subject><subject>Athletes</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology</subject><subject>Cardiomyopathy</subject><subject>Case reports</subject><subject>Creatinine</subject><subject>Disease</subject><subject>Electrocardiography</subject><subject>Emergency Medicine</subject><subject>Genetics</subject><subject>Hospitals</subject><subject>Magnetic resonance imaging</subject><subject>Morphology</subject><subject>Multidisciplinary teams</subject><subject>Patients</subject><subject>Tomography</subject><subject>Tuberculosis</subject><subject>Ultrasonic imaging</subject><subject>Young adults</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpVkctLxDAQxoMoKuvePEvAq9U82iS9CMviCxYU1weeQppNt5Hdpiap0P_e6KroaYaZb37zwQfAIUannBflme696cMppZziLbBPMBOZwCLf_tPvgXEIrwghjDhBHO2CPcoELnPK9oGbwKkKBt6bzvkIXQ0VfHF9u4R3KlrTRnjnTUjVptGzjQ2cD612nYFzo127UH6A0cGJ980Qm7VbmtZq-JQOvNX9SvmE9wvr1oPrVGyGA7BTq1Uw4-86Ao-XFw_T62x2e3UzncwyTRiLmea0UqzOiaiIymuGSlZWhdGqKJkpq9QgplldK52bglFWlqQgROOCa8Ww4HQEzjfcrq_WZqE_DamV7LxdJ8vSKSv_b1rbyKV7l4nEEUUJcPwN8O6tNyHKV9f7NnmWhAvEckYLkVQnG5X2LgRv6t8PGMnPhOQmIfmVUJIf_XX1K_7Jg34ARNWQBg</recordid><startdate>20230113</startdate><enddate>20230113</enddate><creator>Khan, Zahid</creator><creator>Rayner, Tom</creator><creator>Sethumadhavan, Dinesh</creator><creator>Hamid, Sahar</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230113</creationdate><title>A Case Report of a Young Patient Presenting With Syncope Secondary to Arrhythmogenic Ventricular Cardiomyopathy</title><author>Khan, Zahid ; 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| subjects | Antibodies Athletes Cardiac arrhythmia Cardiology Cardiomyopathy Case reports Creatinine Disease Electrocardiography Emergency Medicine Genetics Hospitals Magnetic resonance imaging Morphology Multidisciplinary teams Patients Tomography Tuberculosis Ultrasonic imaging Young adults |
| title | A Case Report of a Young Patient Presenting With Syncope Secondary to Arrhythmogenic Ventricular Cardiomyopathy |
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