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The Use of Fontaine Leads in the Diagnosis of Arrhythmogenic Right Ventricular Dysplasia

Year: 2014

Type: article

Abstract: 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.

Source: Annals of Noninvasive Electrocardiology

DOI: 10.1111/anec.12153

Authors: Byron Gottschalk, Michael Gysel, Raimundo Barbosa‐Barros, Ricardo Paulo De Sousa Rocha, Andrés Ricardo Pérez‐Riera, Li Zhang, Guy Fontaine, Adrian Baranchuk

Institutions: Queen's University, Kingston General Hospital, Hospital de Messejana, Fundação do ABC, Lankenau Institute for Medical Research, Lankenau Medical Center, Pitié-Salpêtrière Hospital

Language: English

Topic: Cardiovascular Effects of Exercise

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W2136805296

FWCI: 2.569

Cites: 9

Cited by: 29

Related to: 10