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Ultima descărcare din IBN: 2024-01-14 23:15 |
SM ISO690:2012 TOCARCIUC, Iulia, TOCARCIUC, Sandu, BÎTCA, Renata, GRIB, Liviu, FILIMON, Silvia. Cardiomiopatia aritmogenă de ventricul drept – modificări electrocardiografice. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 322. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 322-322 | ||||||
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Background. Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a rare, idiopathic cardiomyopathy characterized by progressive fibro-fatty infiltration of the right ventricle (RV) myocardium, manifested by ventricular arrhythmias with guarded prognosis. Objective of the study. Evaluation of electrocardiographic criteria in Arrhythmogenic Right Ventricular Cardiomyopathy. Material and Methods. This study is a review of the latest literature on this topic, for the knowledge of ECG criteria, early diagnosis and appropriate management of pacients with ARVC. Results. In 90% of cases, ARVC is associated with ECG abnormalities: complete or incomplete right bundle branch block, inverted T waves, the presence of Epsilon waves in V1-V3; ventricular tachycardia, fibrillation or flutter. Echocardiographically: RV hypertrophy and dilatation, segmental dyskinesia and aneurysms of the RV, tricuspid prolapse and regurgitation. On MRI: global or segmental RV dysfunction, intramyocardial fatty deposition, inflammation and myocardial fibrosis. Management: antiarrhythmics, catheter ablation, implantable cardioverter defibrillator. Conclusion. Short paroxysms of ventricular tachycardia with left bundle branch block appearance. Inverted T waves in V1-V3 precordial leads with Epsilon wave detection. Implantable cardioverter defibrillators significantly reduce mortality in young pacients with ARVC. |
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Cuvinte-cheie Arrythmogenic right ventricular cardiomyopathy, Epsilon wave, cardiomiopatie aritmogenă de ventricul drept, unda Epsilon |
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