Title

Angina pectoris with troponin increase in arrhythmogenic right ventricle dysplasia: case article and review of the literature.

Document Type

Article

Publication Date

4-1-2012

Identifier

DOI: 10.1007/s00246-012-0174-2

Abstract

A 16-year-old Hispanic girl with arrhythmogenic right-ventricle dysplasia (ARVD) presented with angina pectoris and troponin increase on three occasions. There was a family history of sudden cardiac death in a cousin. Her mother was diagnosed with ARVD. The patient herself had a history of nonsustained ventricular tachycardia but did not meet diagnostic criteria for ARVD. Cardiac workup, including serial transthoracic echocardiograms and a coronary angiogram, showed a structurally normal heart without coronary artery stenosis. Results of cardiac magnetic resonance imaging were questionable, but endomyocardial biopsy did not show evidence of viral myocarditis by polymerase chain reaction. Genetic testing confirmed ARVD.

Journal Title

Pediatric cardiology

Volume

33

Issue

4

First Page

659

Last Page

662

MeSH Keywords

Adolescent; Angina Pectoris; Arrhythmogenic Right Ventricular Dysplasia; Biomarkers; Biopsy; Diagnosis, Differential; Disease Progression; Echocardiography; Electrocardiography; Female; Genetic Testing; Humans; Magnetic Resonance Imaging, Cine; Myocardium; Troponin

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