The average Emergency Clinician is interrupted every 6 minutes. When busy, it can be tempting to quickly “sign off” an ECG. These are the patterns not to miss.
A review of the ECG features of arrhythmogenic right ventricular cardiomyopathy (ARVC) AKA: arrhythmogenic right ventricular dysplasia (ARVD)
Guy Fontaine (1936 - 2018) defined arrhythmogenic right ventricular dysplasia; coin the term 'epsilon wave' for the late QRS 'wiggle' seen in 30% of patients; and describe bipolar lead placements to best visualise the characteristic waves (Fontaine leads; F-ECG)
ECG from a 19 yr old referred by their GP for investigation of palpitations found at a routine medical review. The patient is asymptomatic with no past medical history or regular medications. Describe and interpret this ECG
A 26-year old man presents to ED by ambulance after an episode of syncope while playing soccer. RVOT, BCT, ARVC, ARVD