Age at presentation (years) | 41 (9) | 42 (11) | 0.96 |
Sports classification dynamic component |
Class B | 0 | 1 (3%) | 1.0 |
Class C | 6 (100%) | 39 (97%) |
Sports classification static component |
I | 3 (50%) | 8 (20%) | 0.25 |
II | 0 | 1 (2%) |
III | 3 (50%) | 32 (78%) |
Level of exercise |
Professional/elite | 2 (33%) | 27 (66%) | 0.31 |
Amateur competition | 2 (33%) | 7 (17%) |
Recreational | 2 (33%) | 7 (17%) |
Amount of sport practised |
Years | 22 (9) | 18 (9) | 0.39 |
Hours per week | 9.2 (2.3) | 14.3 (8.9) | 0.005 |
Total hours (h/1000) | 10.0 (5.6) | 11.6 (8.6) | 0.69 |
Family history of ARVC | 1 (17%) | 1 (2%) | 0.24 |
Presenting symptom |
Aborted sudden death | 2 (33%) | 6 (15%) | 0.49 |
(Pre)syncope | 4 (67%) | 26 (63%) |
Palpitations | 0 | 8 (20%) |
Asymptomatic (screening) | 0 | 1 (2%) |
Treatment |
ICD (± ablation) | 5 (83%) | 21 (51%) | 0.31 |
Ablation | 0 | 6 (15%) |
Medications | 1 (17%) | 14 (34%) |
Follow-up duration (years) | 10 (10) | 7 (5) | 0.34 |
Outcome |
Major arrhythmic event | 4 (67%) | 11 (28%) | 0.15 |
(Pre)syncope | 0 | 4 (10%) |
Asymptomatic/ Palpitations | 2 (33%) | 25 (62%) |
Task force criteria allocation and investigation results |
McKenna Task Force Criteria |
ARVC | 4 (67%) | 20 (50%) | 0.62 |
Suspected ARVC | 1 (17%) | 15 (37%) |
Right Ventricular dysfunction and/ or structural alterations |
Severe RV dysfunction and/or dilation | 2 (33%) | 1 (2%) | 0.04 |
Localised RV aneurysm | 1 (17%) | 3 (7%) | 0.43 |
Mild RV dilation or dysfunction | 2 (33%) | 21 (51%) | 0.67 |
Mild RV segmental dilation | 1 (17%) | 10 (25%) | 1.0 |
Regional RV hypokinesia | 1 (17%) | 19 (46%) | 0.22 |
Normal RV morphology and function | 2 (33%) | 15 (37%) | 1.0 |
RV Ejection Fraction (%) | 32.4 (8.6) | 49.7 (9.4) | 0.006 |
(in 3 athletes) | (in 24 athletes) |
ECG abnormalities |
Epsilon wave or QRS duration ≥ 110 ms in V1 or V2 | 1 (17%) | 8 (20%) | 1.0 |
Late potentials | 3 (50%) | 13 (32%) | 0.40 |
Negative T-waves beyond V2 | 4 (67%) | 14 (34%) | 0.19 |
Negative T-waves inferior leads | 2 (33%) | 4 (10%) | 0.17 |
Most severe spontaneous arrhythmia |
SCD/VF | 1 (17%) | 4 (10%) | 0.73 |
Sustained VT | 4 (66%) | 21 (51%) |
Non-sustained VT | 1 (17%) | 13 (32%) |
Frequent VEs | 0 | 3 (7%) |
Frequent VEs (>1000/24 h) | 3 (50%) | 25 (64%) | 0.66 |
Inducible Ventricular Arrhythmia |
Sustained VT | 5 (83%) | 18 (46%) | 0.20 |
Non-sustained VT | 0 | 10 (26%) |
Frequent VEs | 1 (17%) | 11 (28%) |
Number of VT/VPB morphologies | 1.5 (0.5) | 1.8 (0.8) | 0.36 |
Dominant VT/VPB morphology |
RVOT | 1 (17%) | 25 (61%) | 0.08 |
other RV | 5 (83%) | 16 (39%) |
Tissue characterisation |
Biopsy performed | 2 | 8 | 1.0 |
Fibro-fatty replacement | 0 | 0 |
Fibrosis alone | 1 (50%) | 2 (25%) |