Language
English
Publication Date
10-1-2025
Journal
JACC: Case Reports
DOI
10.1016/j.jaccas.2025.105306
PMID
41043920
PMCID
PMC12540268
PubMedCentral® Posted Date
10-1-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Background: A healthy 44-year-old woman presented for preoperative evaluation of planned bunionectomy. Electrocardiogram showed T-wave inversions in leads V1 to V5 and epsilon waves in precordium prompting further evaluation.
Case summary: Imaging studies and genetic testing revealed diagnosis of arrhythmogenic right ventricular cardiomyopathy. Patient met Class IIb indication for primary prevention with implantable cardioverter-defibrillator (ICD). Despite weak guideline indication, shared decision-making with the patient led to ICD implantation. Six months later, she had a ventricular tachycardia arrest resulting in ICD shock and return to sinus rhythm.
Discussion: Routine preoperative evaluation led to the diagnosis of a rare pathology. Prompt evaluation and intervention using shared decision-making led to a life-saving intervention.
Take-home messages: Utilization of guidelines in conjunction with patient-centered therapy is the best approach to provide optimal care and prevent mortality in rare instances like this case for ICD placement after arrhythmogenic right ventricular cardiomyopathy diagnosis.
Keywords
cardiomyopathy, cardioversion, electrophysiology, right ventricle, ventricular tachycardia
Published Open-Access
yes
Recommended Citation
Desai, Parth; Maloof, Alexandra; Vong, Linda; et al., "Unexpected Diagnosis of Arrhythmogenic Right Ventricular Cardiomyopathy After Routine Preoperative Evaluation Leads to Life-Saving Intervention" (2025). Faculty and Staff Publications. 4210.
https://digitalcommons.library.tmc.edu/baylor_docs/4210
Graphical Abstract