Right Ventricular Cardiomyopathy and Sudden Death in Young People

作者: Gaetano Thiene , Andrea Nava , Domenico Corrado , Lino Rossi , Natale Pennelli

DOI: 10.1056/NEJM198801213180301

关键词: Sudden deathPalpitationsArrhythmogenic right ventricular dysplasiaRight Ventricular Free WallRight ventricular cardiomyopathyCardiologySurgeryNaxos diseaseCardiomyopathyAutopsyMedicineInternal medicine

摘要: Abstract From 1979 to 1986, we conducted postmortem studies of 60 persons under 35 years age who had died suddenly in the Veneto Region northeastern Italy. Unexpectedly, found that 12 subjects — 7 males and 5 females ranging from 13 30 morphologic features right ventricular cardiomyopathy. This disorder not been diagnosed or suspected before died. In five cases, sudden death was first sign disease; remaining seven a history palpitations, syncopal episodes, both, those seven, arrhythmias previously recorded on electrocardiographic examination. Ten during exertion. At autopsy, subjects' heart weights were normal moderately increased. Two main histologic patterns identified lipomatous transformation fibrolipomatous free wall (6 cases each); all left ventricle substantially spared. Signs m...

参考文章(27)
M. J. Davies, Ariela Pomerance, The Pathology of the heart Blackwell Scientific Publications , distributed by J. B. Lippincott. ,(1975)
S. B. Olsson, N. Edvardsson, H. Emanuelsson, S. Eneström, A case of arrhythmogenic right ventricular dysplasia with ventricular fibrillation. Clinical Cardiology. ,vol. 5, pp. 591- 596 ,(1982) , 10.1002/CLC.4960051104
Barry J. Maron, Stephen E. Epstein, William C. Roberts, Causes of sudden death in competitive athletes. Journal of the American College of Cardiology. ,vol. 7, pp. 204- 214 ,(1986) , 10.1016/S0735-1097(86)80283-2
B J Maron, W C Roberts, H A McAllister, D R Rosing, S E Epstein, Sudden death in young athletes. Circulation. ,vol. 62, pp. 218- 229 ,(1980) , 10.1161/01.CIR.62.2.218
Ioannis P Panidis, Allan M Greenspan, Gary S Mintz, John Ross, Inducible ventricular fibrillation in arrhythmogenic right ventricular dysplasia American Heart Journal. ,vol. 110, pp. 1067- 1069 ,(1985) , 10.1016/0002-8703(85)90213-3
Peter Rakovec, Lino Rossi, Guy Fontaine, Barbara S̆as̆el, Jernej Markez̆, Drago Vonc̆ina, Familial arrhythmogenic right ventricular disease American Journal of Cardiology. ,vol. 58, pp. 377- 378 ,(1986) , 10.1016/0002-9149(86)90089-5
FONTAINE G, FRANK R, TNET L, GUIRAUDON G, CABROL C, CHOMETTE G, GROSGOGEAT Y, Arrhythmogenic right ventricular dysplasia: a clinical model for the study of chronic ventricular tachycardia. Japanese Circulation Journal-english Edition. ,vol. 48, pp. 515- 538 ,(1984) , 10.1253/JCJ.48.515
JAMES R. ZAIDAN, PATRICK E. CURLING, JOSEPH M. CRAVER, Effect of enflurane, isoflurane, and halothane on pacing stimulation thresholds in man. Pacing and Clinical Electrophysiology. ,vol. 8, pp. 32- 34 ,(1985) , 10.1111/J.1540-8159.1985.TB05719.X
G M Guiraudon, G J Klein, S S Gulamhusein, G A Painvin, C Del Campo, J C Gonzales, P T Ko, Total disconnection of the right ventricular free wall: surgical treatment of right ventricular tachycardia associated with right ventricular dysplasia. Circulation. ,vol. 67, pp. 463- 470 ,(1983) , 10.1161/01.CIR.67.2.463
On Topaz, Jesse E. Edwards, Pathologic Features of Sudden Death in Children, Adolescents, and Young Adults Chest. ,vol. 87, pp. 476- 482 ,(1985) , 10.1378/CHEST.87.4.476