I. Structure/function assessment
|
Major | 2D echocardiography:
CMR:
RV angiography:
|
Minor | 2D echocardiography:
CMR:
|
II. Tissue characterisation
|
Major |
Residual myocytes <60% by morphometric analysis (or <50% if estimated), with fibrous replacement of the RV free wall myocardium in ≥1 sample, with or without fatty replacement of tissue on endomyocardial biopsy.
|
Minor |
Residual myocytes 60%–75% by morphometric analysis (or 50%–65% if estimated), with fibrous replacement of the RV free wall myocardium in ≥1 sample, with or without fatty replacement of tissue on endomyocardial biopsy.
|
III. Repolarisation abnormalities
|
Major |
|
Minor |
Inverted T-waves in leads V1 and V2, in individuals >14 years of age (in absence of complete RBBB) or in V4, V5 or V6. Inverted T-waves in leads V1, V2, V3 and V4 in individuals >14 years of age in the presence of complete RBBB.
|
IV. Depolarisation abnormalities
|
Major |
|
Minor |
Late potentials by SAECG in ≥1 of 3 parameters in absence of a QRS of ≥110 ms on standard ECG: Filtered QRS duration ≥114 ms. Duration of terminal QRS <40 µV ≥38 ms. Root-mean-square voltage of terminal 40 ms ≤ 20 µV.
Terminal activation duration of QRS ≥55 ms, measured from the nadir of the S-wave to the end of the QRS, including R’, in V1, V2 or V3, in absence of complete RBBB.
|
V. Arrhythmias
|
Major |
|
Minor |
Non-sustained or sustained VT of RVOT configuration, LBBB morphology with inferior axis or with unknown axis. >500 PVCs per 24 hours on Holter monitoring.
|
VI. Family history
|
Major |
First-degree relative with ARVC confirmed by TFC. First-degree relative with ARVC confirmed pathologically at autopsy or surgery. Identification of a pathogenic mutation categorised as associated or probably associated with ARVC in the patient under evaluation.
|
Minor |
First-degree relative with ARVC history not possible to confirm by TFC. First-degree relative with SCD <35 years of age due to suspected ARVC. Second-degree relative with ARVC confirmed by TFC or pathologically.
|