Arrhythmogenic right ventricular dysplasia: A possible cause of sudden incapacitation

Alon Grossman, Erez Barenboim, Bella Azaria, Yaniv Sherer, Liav Goldstein

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Arrhythmogenic right ventricular dysplasia (ARVD) is an important cause of sudden death in the young. The classic presentation is with sustained ventricular tachycardia, with an electrocardiographic pattern of a left bundle branch block, but a proportion of the patients may present as sudden cardiac death. Establishing the diagnosis in aviators may be particularly important since it may prevent sudden incapacitation. We present a case of an aviator with ARVD, in whom the diagnosis was delayed despite an abnormal ECG pattern witnessed over 20 yr. The aviator presented with symptomatic sustained ventricular tachycardia at the age of 46 after nearly 3 decades of active flight duty as a rotary wing pilot in the Israeli air force. This case illustrates the potential of ARVD to result in in-flight incapacitation and emphasizes the need to establish the diagnosis early, particularly in aviators.

Original languageEnglish
Pages (from-to)697-699
Number of pages3
JournalAviation Space and Environmental Medicine
Volume75
Issue number8
StatePublished - 1 Aug 2004
Externally publishedYes

Keywords

  • ARVD
  • Aerospace medicine
  • Arrhythmogenic right ventricular dysplasia
  • Aviators
  • Sudden death

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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