The Use of Fontaine Leads in the Diagnosis of Arrhythmogenic Right Ventricular Dysplasia. Issue 3 (5th March 2014)

• Record Type: Journal Article
• Authors: Gottschalk, Byron; Gysel, Michael; Barbosa‐Barros, Raimundo; De Sousa Rocha, Ricardo Paulo; Pérez‐Riera, Andrés Ricardo; Zhang, Li; Fontaine, Guy; Baranchuk, Adrian
• Is Part Of: Annals of noninvasive electrocardiology. Volume 19:Issue 3(2014:May)
• Page Start: 279
• Page End: 284
• Publication Date: 2014-03-05
• Subjects: Electrocardiography -- Periodicals; Arrhythmia -- Periodicals; 616.1207547
• DOI: 10.1111/anec.12153
• Languages: English
• ISSNs: 1082-720X

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <p>We report a case of a 68‐year‐old man admitted to the emergency department with syncope preceded by rapid palpitations. His admission ECG demonstrated a sustained ventricular tachycardia (VT) originating from the right ventricular outflow tract (RVOT). This report highlights the importance of distinguishing ventricular tachycardia caused by arrhythmogenic right ventricular dysplasia (ARVD) from the more benign idiopathic RVOT‐VT. Furthermore, we demonstrate the utility of the Fontaine leads placement in increasing the sensitivity for uncovering epsilon waves, a highly specific electrocardiographic feature that increases diagnostic accuracy in patients with ARVD.</p> </abstract>