Pitfalls in the diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia.
Pitfalls in the diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia.
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DOI:
10.1016/j.amjcard.2009.11.033
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发表时间:
2010-04-01
影响因子:
2.8
通讯作者:
Sorrell, Vincent L.
中科院分区:
文献类型:
--
作者:
Marcus, Frank;Basso, Cristina;Gear, Kathleen;Sorrell, Vincent L.
The diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) is based on Task Force Criteria published in 1994 that included imaging abnormalities of the right ventricle as well as diagnostic pathological evaluation of the right ventricular myocardium by endomyocardial biopsy. These have recently been modified to include evaluation by cardiac magnetic resonance (CMR). In addition quantitative criteria for the percent of fibrosis and decrease in myocyte are included in the new criteria. The pitfalls of determining the presence of ARVC/D at autopsy and the difficulty of assessing the presence of this disease in family members are well illustrated in the following report. In conclusion, this report illustrates the need to subscribe to the modified criteria to avoid misdiagnosis.
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