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. 2017 Dec 21;34(1):11–22. doi: 10.1002/joa3.12021

Table 2.

International Task Force Criteria modified in 2010 (reproduced from 31 with permission)

Domain Major criteria Minor criteria
Family history
  • ARVD confirmed in a first‐degree relative

  • ARVD confirmed at surgery or autopsy in a first‐degree relative

  • Pathogenetic mutation in a gene associated with ARVD

  • History of ARVD in a first‐degree relative in whom it was not possible to determine whether the current Task Force Criteria is met

  • Premature death at <35 years of age due to suspected ARVD

  • ARVD confirmed pathologically or by current Task Force criteria in a second‐degree relative

ECG abnormalities
  • Epsilon wave (reproducible low‐amplitude signals between end of QRS complex and beginning of T‐wave in leads V1 to V3

  • Inverted T‐waves in leads V1 to V3 in individuals >14 years of age in the absence of RBBB and QRS ≥120 ms)

  • Late potentials by signal‐averaged ECG in ≥1 of 3 parameters in an absence of QRS ≥110 ms

  • Filtered QRS duration ≥114 ms

  • Duration of terminal QRS <40 μV and ≥38 ms

  • Root‐mean‐square voltage of terminal QRS <40 ms and ≤20 μV

  • Terminal activation duration of QRS ≥55 ms measured between the nadir of the S wave and the end of the QRS complex, including R', in V1, V2, or V3, without RBBB

  • T‐wave inversion in V1 and V2 in individuals >14 years of age in an absence of RBBB, or in V4 to V6

  • T‐wave inversion in leads V1 to V4 in individuals >14 years of age in the presence of complete RBBB

Arrhythmias
  • Nonsustained or sustained VT with a LBBB morphology with superior axis (negative or indeterminate QRS in leads II, III, and aVF and positive in aVL)

  • Nonsustained or sustained VT of RVOT configuration, LBBB morphology with inferior axis (positive QRS in leads II, III, and aVF and negative in aVL) or of unknown axis

  • 500 ventricular extrasystoles within 24 h on Holter monitoring

Tissue characteristics
  • Fibro‐fatty replacement of the myocardium on endomyocardial biopsy

  • Residual myocytes <60% by morphometric analysis (or <50% if estimated) with fibrous replacement of the RV free wall myocardium in >1 sample, with or without fatty replacement of tissue on endomyocardial biopsy

  • Residual myocytes 60%‐75% morphometric analysis (or 50%‐65% if estimated) with fibrous replacement of the RV free wall myocardium in >1 sample, with or without fatty replacement of tissue on endomyocardial biopsy

Global or regional functional or structural abnormalities
Echocardiography
  • Regional RV akinesia, dyskinesia, or aneurysm and one of the following at end diastole:

    • PLAX RVOT ≥32 mm (corrected for body size [PLAX/BSA] ≥19 mm/m2)

    • PLAX RVOT ≥36 mm (corrected for body size [PLAX/BSA] ≥21 mm/m2)

    • Fractional area change ≤33%

  • Regional RV akinesia, dyskinesia, and one of the following at end diastole:

    • PLAX RVOT ≥32 and <36 mm (corrected for body size [PLAX/BSA] >18 and <21 mm/m2)

    • PLAX RVOT ≥29 and <32 mm (corrected for body size [PLAX/BSA] >16 and <19 mm/m2)

    • Fractional area change >33% and ≤40%

MRI
  • Regional RV akinesia or dyskinesia or dyssynchronous RV contraction and one of the following:

    • Ratio of RV end‐diastolic volume to BSA ≥110 mL/m2 (male) or ≥100 mL/m2 (female)

    • RV ejection fraction ≤40%

  • Regional RV akinesia or dyskinesia and one of the following:

    • Ratio of RV end‐diastolic volume to BSA ≥100 mL/m2 and <110 mL/m2 (male) or ≥90 mL/m2 and <100 mL/m2 (female)

    • RV ejection fraction >40% and ≤45%

RV angiography
  • Regional RV akinesia, dyskinesia, or aneurysm

  • Regional RV akinesia, dyskinesia, or aneurysm