Publicação
Miocardiopatia arritmogénica do ventrículo direito : caso clínico
| Resumo: | Syncope is a transverse symptom to all age groups with extensive differential diagnosis, and therefore, establishing an etiologic diagnosis is not always linear. Despite being mostly a benign symptom, it may be the only way of presentation of extremely debilitating diseases. One of the differential diagnoses of syncope is arrhythmogenic right ventricular cardiomyopathy. The arrhythmogenic right ventricular cardiomyopathy is a clinical entity of difficult diagnosis that manifests itself through ventricular arrhythmias associated with characteristic right ventricular changes (in an early stage limited to the right ventricle and, in a later stage biventricular). We present a case of a 23 year old with arrhythmogenic right ventricular cardiomyopathy that manifests itself in the form of transient loss of consciousness preceded by heart palpitations, during sport practice. With no previous history of disease, the patient suffers rapid progression of heart disease over 12 months, with the final diagnosis of arrhythmogenic right ventricular cardiomyopathy. In this paper, a theoretical analysis on arrhythmogenic right ventricular cardiomyopathy is performed, focusing the historical perspective of the disease, its clinical presentation and therapy, while tracking the clinical progress of the clinical case. |
|---|---|
| Autores principais: | Adragão, Francisco Miguel Nunes da Silva Pulido |
| Assunto: | Syncope Arrhythmogenic right ventricular cardiomyopathy Clinical case Fast progression |
| Ano: | 2014 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | português |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | Syncope is a transverse symptom to all age groups with extensive differential diagnosis, and therefore, establishing an etiologic diagnosis is not always linear. Despite being mostly a benign symptom, it may be the only way of presentation of extremely debilitating diseases. One of the differential diagnoses of syncope is arrhythmogenic right ventricular cardiomyopathy. The arrhythmogenic right ventricular cardiomyopathy is a clinical entity of difficult diagnosis that manifests itself through ventricular arrhythmias associated with characteristic right ventricular changes (in an early stage limited to the right ventricle and, in a later stage biventricular). We present a case of a 23 year old with arrhythmogenic right ventricular cardiomyopathy that manifests itself in the form of transient loss of consciousness preceded by heart palpitations, during sport practice. With no previous history of disease, the patient suffers rapid progression of heart disease over 12 months, with the final diagnosis of arrhythmogenic right ventricular cardiomyopathy. In this paper, a theoretical analysis on arrhythmogenic right ventricular cardiomyopathy is performed, focusing the historical perspective of the disease, its clinical presentation and therapy, while tracking the clinical progress of the clinical case. |
|---|