CTICasesArrhythmogenic Right Ventricular Dysplasia (ARVD)
Imaging findings
A 38-year-old male with a history of sustained V-tach underwent imaging which demonstrated significant right ventricular enlargement with dysmorphic wall features. ECG showed characteristic epsilon waves.
Key takeaways
The presence of epsilon waves on ECG, combined with right ventricular wall dyskinesia and dilation on imaging, is highly specific for arrhythmogenic right ventricular dysplasia. It should be considered in young patients with unexplained ventricular arrhythmias.
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