I. Global and/or regional dysfunction and structural alterations |
Major |
- Severe dilatation and reduction of right ventricular ejection fraction with no (or only mild) LV impairment |
Minor |
- Mild global right ventricular dilatation and/or ejection fraction reduction with normal left ventricle |
- Mild segmental dilatation |
- Regional right ventricular hypokinesia |
II. Tissue characterisation of wall |
Major |
- Fibrofatty replacement of myocardium on endomyocardial biopsy |
III. Repolarisation abnormalities |
Minor |
- Inverted T waves in right precordial leads (V2 and V3) in people aged >12 years, in absence of right bundle branch block |
IV. Depolarisation/conduction abnormalities |
Major |
- Epsilon waves or localised prolongation (>110 ms) of the QRS complex in right precordial leads (V1 to V3) |
Minor |
- Late potentials on signal-averaged ECG |
V. Arrhythmias |
Minor |
- Left bundle-branch block type ventricular tachycardia (sustained and nonsustained) by ECG, Holter, or exercise testing |
- Frequent ventricular extrasystoles (>1000/24 hours) on Holter |
VI. Family history |
Major |
- Familial disease confirmed at necropsy or surgery |
Minor |
- Family history of premature sudden death (<35 years) due to suspected right ventricular dysplasia. |
- Familial history (clinical diagnosis based on present criteria) |