Heart 2000;83:588-595 ( May )

Education in Heart

CARDIOMYOPATHY

Arrhythmogenic right ventricular cardiomyopathy: diagnosis, prognosis, and treatment

Domenico Corrado, Cristina Basso, Gaetano Thiene

Departments of Cardiology and Pathology, University of Padova, Italy

Correspondence to: Domenico Corrado MD, Department of Cardiology, University of Padua Medical School, Via Giustiniani 2 - 35121 Padova, Italy email: cardpath@ux1.unipd.it

The first 150 words of the full text of this article appear below.

	Introduction

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a myocardial disease, often familial, that is characterised pathologically by fibrofatty replacement of the right ventricular myocardium, and clinically by ventricular arrhythmias of right ventricular origin which may lead to sudden death, mostly in young people and athletes.^1-5 The term "dysplasia" was originally used to describe an entity that was considered to be the result of a developmental defect of the right ventricular myocardium.¹ A better understanding of clinical manifestations as well as morphologic findings does not support the theory of a congenital absence of the myocardium, but is in keeping with a non-ischaemic, ongoing atrophy of the right ventricular myocardium, most likely genetically determined, which becomes symptomatic in adolescents and young adults.^2-4 On the basis of its nature of progressive heart muscle disease of unknown aetiology, ARVC has been more appropriately included among the cardiomyopathies in the recent classification proposed by the task . . . [Full text of this article]

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