Open AccessThe Use of Fontaine Leads in the Diagnosis of Arrhythmogenic Right Ventricular Dysplasia
Author(s) -
Gottschalk Byron,
Gysel Michael,
BarbosaBarros Raimundo,
De Sousa Rocha Ricardo Paulo,
PérezRiera Andrés Ricardo,
Zhang Li,
Fontaine Guy,
Baranchuk Adrian
Publication year - 2014
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12153
Subject(s) - medicine , arrhythmogenic right ventricular dysplasia , palpitations , cardiology , ventricular outflow tract , ventricular tachycardia , tachycardia , emergency department , electrocardiography , dysplasia , cardiomyopathy , heart failure , psychiatry
We report a case of a 68‐year‐old man admitted to the emergency department with syncope preceded by rapid palpitations. His admission ECG demonstrated a sustained ventricular tachycardia (VT) originating from the right ventricular outflow tract (RVOT). This report highlights the importance of distinguishing ventricular tachycardia caused by arrhythmogenic right ventricular dysplasia (ARVD) from the more benign idiopathic RVOT‐VT. Furthermore, we demonstrate the utility of the Fontaine leads placement in increasing the sensitivity for uncovering epsilon waves, a highly specific electrocardiographic feature that increases diagnostic accuracy in patients with ARVD.