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Ventricular tachycardia following right ventricular disconnection for arrhythmogenic right ventricular cardiomyopathy
  1. Gareth J Padfield,
  2. Christopher Llewellyn,
  3. Paul Broadhurst
  1. Department of Cardiology, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Dr Gareth J Padfield, Department of Cardiology, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, UK; gareth.padfield{at}nhs.net

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A 42-year-old man was admitted to hospital with palpitation and pre-syncope. Seven years previously, he had undergone surgical disconnection of the right ventricular (RV) free-wall for the treatment of refractory ventricular fibrillation secondary to arrhythmogenic RV cardiomyopathy. A CRT-D was implanted in order to deliver anti-tachycardia therapies and provide inter-ventricular resynchronisation.

A surface ECG confirmed a broad …

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