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. 1988 May;59(5):556–563. doi: 10.1136/hrt.59.5.556

Cardioangiographic findings in patients with arrhythmogenic right ventricular dysplasia.

C Blomström-Lundqvist 1, K Selin 1, R Jonsson 1, S R Johansson 1, D Schlossman 1, S B Olsson 1
PMCID: PMC1276896  PMID: 3382567

Abstract

The dimension, contractility, and regional wall motion of the right and left ventricles were scored on the angiograms of 13 patients with arrhythmogenic right ventricular dysplasia. In 10 patients the right ventricle was enlarged, in eight the contractility of the right ventricle was reduced, and in all but one patient there were regional wall motion abnormalities of the right ventricle. The most common abnormality of regional wall motion was mild hypokinesia. There were bulging or dyskinetic areas in seven patients. Regional wall motion abnormalities of the left ventricle were found in five patients, two of whom also had bulging or dyskinetic areas. The reproducibility of right ventricular dimension, contractility, and regional wall motion scores was generally fair but varied unexpectedly both within and between two observers (Kendall's Tau 0.38-0.92). The score values of regional wall motion for some of the segments differed considerably within and between observers. One of the observers consistently gave higher scores than the other. These data suggest that a more objective approach is needed for evaluating angiographic changes in arrhythmogenic right ventricular dysplasia.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baran A., Nanda N. C., Falkoff M., Barold S. S., Gallagher J. J. Two-dimensional echocardiographic detection of arrhythmogenic right ventricular dysplasia. Am Heart J. 1982 Jun;103(6):1066–1067. doi: 10.1016/0002-8703(82)90570-1. [DOI] [PubMed] [Google Scholar]
  2. Blomström-Lundqvist C., Sabel K. G., Olsson S. B. A long term follow up of 15 patients with arrhythmogenic right ventricular dysplasia. Br Heart J. 1987 Nov;58(5):477–488. doi: 10.1136/hrt.58.5.477. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bourguignon M. H., Sebag C., Le Guludec D., Davy J. M., Lainé J. F., Slama M., Motté G., Syrota A. Arrhythmogenic right ventricular dysplasia demonstrated by phase mapping of gated equilibrium radioventriculography. Am Heart J. 1986 May;111(5):997–1000. doi: 10.1016/0002-8703(86)90656-3. [DOI] [PubMed] [Google Scholar]
  4. Bove A. A., Santamore W. P. Ventricular interdependence. Prog Cardiovasc Dis. 1981 Mar-Apr;23(5):365–388. doi: 10.1016/0033-0620(81)90022-0. [DOI] [PubMed] [Google Scholar]
  5. Crawford M. H., Amon K. W., Vance W. S. Exercise 2-dimensional echocardiography. Quantitation of left ventricular performance in patients with severe angina pectoris. Am J Cardiol. 1983 Jan 1;51(1):1–6. doi: 10.1016/s0002-9149(83)80002-2. [DOI] [PubMed] [Google Scholar]
  6. Deal B. J., Miller S. M., Scagliotti D., Prechel D., Gallastegui J. L., Hariman R. J. Ventricular tachycardia in a young population without overt heart disease. Circulation. 1986 Jun;73(6):1111–1118. doi: 10.1161/01.cir.73.6.1111. [DOI] [PubMed] [Google Scholar]
  7. Drobinski G., Verdière C., Fontaine G. H., Frank R., Fechner J., Grosgogeat Y. Diagnostic angiocardiographique des dysplasies ventriculaires droites. Arch Mal Coeur Vaiss. 1985 Apr;78(4):544–551. [PubMed] [Google Scholar]
  8. Dungan W. T., Garson A., Jr, Gillette P. C. Arrhythmogenic right ventricular dysplasia: a cause of ventricular tachycardia in children with apparently normal hearts. Am Heart J. 1981 Oct;102(4):745–750. doi: 10.1016/0002-8703(81)90101-0. [DOI] [PubMed] [Google Scholar]
  9. Déry R., Lipton M. J., Garrett J. S., Abbott J., Higgins C. B., Schienman M. M. Cine-computed tomography of arrhythmogenic right ventricular dysplasia. J Comput Assist Tomogr. 1986 Jan-Feb;10(1):120–123. doi: 10.1097/00004728-198601000-00025. [DOI] [PubMed] [Google Scholar]
  10. Foale R. A., Nihoyannopoulos P., Ribeiro P., McKenna W. J., Oakley C. M., Krikler D. M., Rowland E. Right ventricular abnormalities in ventricular tachycardia of right ventricular origin: relation to electrophysiological abnormalities. Br Heart J. 1986 Jul;56(1):45–54. doi: 10.1136/hrt.56.1.45. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Fontaine G., Frank R., Tonet J. L., Guiraudon G., Cabrol C., Chomette G., Grosgogeat Y. Arrhythmogenic right ventricular dysplasia: a clinical model for the study of chronic ventricular tachycardia. Jpn Circ J. 1984 Jun;48(6):515–538. doi: 10.1253/jcj.48.515. [DOI] [PubMed] [Google Scholar]
  12. Fontaine G., Guiraudon G., Frank R., Tereau Y., Fillette F., Marcus F. I., Chomette G., Grosgogeat Y. Dysplasie ventriculaire droite arythmogène et maladie de Uhl. Arch Mal Coeur Vaiss. 1982 Apr;75(4):361–371. [PubMed] [Google Scholar]
  13. Gentzler R. D., 2nd, Briselli M. F., Gault J. H. Angiographic estimation of right ventricular volume in man. Circulation. 1974 Aug;50(2):324–330. doi: 10.1161/01.cir.50.2.324. [DOI] [PubMed] [Google Scholar]
  14. Hasumi M., Sekiguchi M., Hiroe M., Kasanuki H., Hirosawa K. Endomyocardial biopsy approach to patients with ventricular tachycardia with special reference to arrhythmogenic right ventricular dysplasia. Jpn Circ J. 1987 Feb;51(2):242–249. doi: 10.1253/jcj.51.242. [DOI] [PubMed] [Google Scholar]
  15. Kennedy J. W., Trenholme S. E., Kasser I. S. Left ventricular volume and mass from single-plane cineangiocardiogram. A comparison of anteroposterior and right anterior oblique methods. Am Heart J. 1970 Sep;80(3):343–352. doi: 10.1016/0002-8703(70)90099-2. [DOI] [PubMed] [Google Scholar]
  16. Manyari D. E., Duff H. J., Kostuk W. J., Belenkie I., Klein G. J., Wyse D. G., Mitchell L. B., Boughner D., Guiraudon G., Smith E. R. Usefulness of noninvasive studies for diagnosis of right ventricular dysplasia. Am J Cardiol. 1986 May 1;57(13):1147–1153. doi: 10.1016/0002-9149(86)90690-9. [DOI] [PubMed] [Google Scholar]
  17. Manyari D. E., Klein G. J., Gulamhusein S., Boughner D., Guiraudon G. M., Wyse G., Mitchell L. B., Kostuk W. J. Arrhythmogenic right ventricular dysplasia: a generalized cardiomyopathy? Circulation. 1983 Aug;68(2):251–257. doi: 10.1161/01.cir.68.2.251. [DOI] [PubMed] [Google Scholar]
  18. Marcus F. I., Fontaine G. H., Guiraudon G., Frank R., Laurenceau J. L., Malergue C., Grosgogeat Y. Right ventricular dysplasia: a report of 24 adult cases. Circulation. 1982 Feb;65(2):384–398. doi: 10.1161/01.cir.65.2.384. [DOI] [PubMed] [Google Scholar]
  19. Pietras R. J., Lam W., Bauernfeind R., Sheikh A., Palileo E., Strasberg B., Swiryn S., Rosen K. M. Chronic recurrent right ventricular tachycardia in patients without ischemic heart disease: clinical, hemodynamic, and angiographic findings. Am Heart J. 1983 Mar;105(3):357–366. doi: 10.1016/0002-8703(83)90350-2. [DOI] [PubMed] [Google Scholar]
  20. Robertson J. H., Bardy G. H., German L. D., Gallagher J. J., Kisslo J. Comparison of two-dimensional echocardiographic and angiographic findings in arrhythmogenic right ventricular dysplasia. Am J Cardiol. 1985 Jun 1;55(13 Pt 1):1506–1508. doi: 10.1016/0002-9149(85)90962-2. [DOI] [PubMed] [Google Scholar]
  21. Rossi P., Massumi A., Gillette P., Hall R. J. Arrhythmogenic right ventricular dysplasia: clinical features, diagnostic techniques, and current management. Am Heart J. 1982 Mar;103(3):415–420. doi: 10.1016/0002-8703(82)90282-4. [DOI] [PubMed] [Google Scholar]
  22. Rowland E., McKenna W. J., Sugrue D., Barclay R., Foale R. A., Krikler D. M. Ventricular tachycardia of left bundle branch block configuration in patients with isolated right ventricular dilatation. Clinical and electrophysiological features. Br Heart J. 1984 Jan;51(1):15–24. doi: 10.1136/hrt.51.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Strain J. E., Grose R. M., Factor S. M., Fisher J. D. Results of endomyocardial biopsy in patients with spontaneous ventricular tachycardia but without apparent structural heart disease. Circulation. 1983 Dec;68(6):1171–1181. doi: 10.1161/01.cir.68.6.1171. [DOI] [PubMed] [Google Scholar]
  24. Webb J. G., Kerr C. R., Huckell V. F., Mizgala H. F., Ricci D. R. Left ventricular abnormalities in arrhythmogenic right ventricular dysplasia. Am J Cardiol. 1986 Sep 1;58(6):568–570. doi: 10.1016/0002-9149(86)90043-3. [DOI] [PubMed] [Google Scholar]

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