The Cardiac Society of Australia and New Zealand Position Statement on the Diagnosis and Management of Arrhythmogenic Right Ventricular Cardiomyopathy (2019 Update)
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McGavigan, Andrew
Semsarian, Chris
Martin, Andrew
Atherton, John
Stanton, Tony
La Gerche, Andre
Taylor, Andrew J
Haqqani, Haris
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Abstract
Key Points:
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Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a disease affecting the right, and/or the left ventricle, and commonly presents as an electrical disorder with ventricular arrhythmias and increased risk of sudden cardiac death.
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ARVC cannot be diagnosed by a single test, and is a clinical diagnosis supported by electrophysiologic, morpho-functional, genetic, and histological data based on the 2010 Task Force 2 criteria.
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Familial involvement occurs in more than 50%, and referral to a specialist centre with access to genotyping is appropriate in selected cases.
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Implantable cardioverter-defibrillator (ICD) therapy carries risk, and appropriate thresholds should apply before offering this, particularly in younger individuals.
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Heart, Lung and Circulation
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Rights Statement
© 2019 Australasian Society of Cardiac and Thoracic Surgeons and The Cardiac Society of Australia and New Zealand. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
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Subject
Cardiovascular medicine and haematology
Arrhythmia
Arrythmogenic right ventricular cardiomyopathy
Genetics
Sudden cardiac death
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Hamilton-Craig, C; McGavigan, A; Semsarian, C; Martin, A; Atherton, J; Stanton, T; La Gerche, A; Taylor, AJ; Haqqani, H, The Cardiac Society of Australia and New Zealand Position Statement on the Diagnosis and Management of Arrhythmogenic Right Ventricular Cardiomyopathy (2019 Update)., Heart, Lung and Circulation, 2019