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Paper Details

A Case of Arrythmogenic Right Ventricular Cardiomyopathy Presenting as An Inferior STEMI    

Ech-chenbouli Amine (MD)*, Benouna Mohamed Elghali (MD), Benmallem Othmane (MD), Arous Salim (MD), Choukrallah Hamza (MD), El Adaoui Abdelmajid (MD), Asklou Abdesamad (MD), Habbal Rachida (MD)  

Journal Title:Annals of Case Reports & Reviews

Arrythmogenic right ventricular cardiomyopathy is considered to be the most frequent arrhythmogenic cardiomyopathy. It is a rare condition in the general population with an estimated prevalence of 1:5000. We report the case of a 65 y.o man who was admitted to our emergency department for syncope and chest pain with a typical EKG of inferior STEMI who turned out to be an arrythmogenic right ventricular cardiomyopathy. Surprisingly the coronary angiogram was in the limit of normal and right ventricularography showed a typical aspect of stack of plates suggestive f arrythmogenic right ventricular cardiomyopathy. On echocardiography we objectified a dilated right ventricle with an anterior wall hypokinesia, cardiac MRI showed in addition of right ventricular dilatation and segmental akinesia a fatty infiltration on late gadolinium enhancement.   Keywords: Arrythmogenic right ventricular cardiomyopathy, STEMI, Cardiac MRI