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The use of fontaine leads in the diagnosis of arrhythmogenic right ventricular dysplasia.
Ann Noninvasive Electrocardiol. 2014 May; 19(3):279-84.AN

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.

Authors+Show Affiliations

Division of Cardiology, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24597934

Citation

Gottschalk, Byron, et al. "The Use of Fontaine Leads in the Diagnosis of Arrhythmogenic Right Ventricular Dysplasia." Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, vol. 19, no. 3, 2014, pp. 279-84.
Gottschalk B, Gysel M, Barbosa-Barros R, et al. The use of fontaine leads in the diagnosis of arrhythmogenic right ventricular dysplasia. Ann Noninvasive Electrocardiol. 2014;19(3):279-84.
Gottschalk, B., Gysel, M., Barbosa-Barros, R., De Sousa Rocha, R. P., Pérez-Riera, A. R., Zhang, L., Fontaine, G., & Baranchuk, A. (2014). The use of fontaine leads in the diagnosis of arrhythmogenic right ventricular dysplasia. Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 19(3), 279-84. https://doi.org/10.1111/anec.12153
Gottschalk B, et al. The Use of Fontaine Leads in the Diagnosis of Arrhythmogenic Right Ventricular Dysplasia. Ann Noninvasive Electrocardiol. 2014;19(3):279-84. PubMed PMID: 24597934.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use of fontaine leads in the diagnosis of arrhythmogenic right ventricular dysplasia. AU - Gottschalk,Byron, AU - Gysel,Michael, AU - Barbosa-Barros,Raimundo, AU - De Sousa Rocha,Ricardo Paulo, AU - Pérez-Riera,Andrés Ricardo, AU - Zhang,Li, AU - Fontaine,Guy, AU - Baranchuk,Adrian, Y1 - 2014/03/05/ PY - 2014/3/7/entrez PY - 2014/3/7/pubmed PY - 2014/12/17/medline KW - ARVD KW - ARVD/C KW - arrhythmogenic right ventricular dysplasia KW - arrhythmogenic right ventricular dysplasia/cardiomyopathy KW - fontaine leads SP - 279 EP - 84 JF - Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc JO - Ann Noninvasive Electrocardiol VL - 19 IS - 3 N2 - 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. SN - 1542-474X UR - https://www.unboundmedicine.com/medline/citation/24597934/The_use_of_fontaine_leads_in_the_diagnosis_of_arrhythmogenic_right_ventricular_dysplasia_ L2 - https://doi.org/10.1111/anec.12153 DB - PRIME DP - Unbound Medicine ER -