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European Heart Journal 1993 14(5):717-720;
Copyright © 1993 by the European Society of Cardiology.
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© 1993 The Europen Society of Cardiology

Chronic (or healed) myocarditis mimicking arrhythmogenic right ventricular dysplasia

R. HOFMANN*, H.-J. TRAPPE*, H. KLEIN* and J. KEMNITZ{dagger}

*Department of Cardiology, University Hospital Hannover, Germany
{dagger}Department of Pathology, University Hospital Hannover, Germany

Received 18 June 1991; revised 19 November 1992; .

Hans-Joachim Trappe, MD, Department of Cardiology, University Hospital Hannover, Konstanty-Gutschow-Str. 8, 3000 Hannover 61, Germany

Abstract

The aetiology of arrhythmogenic right ventricular dysplasia is still unknown, and there are few reports on familial coincidence in the literature. A case of a previously healthy man with an episode of acute myocarditis is described. After recovery from acute myocarditis, the patient was resuscitated from aborted sudden cardiac death 16 months later. Angiographic and electrophysiological evaluation suggested the pattern of arrhythmogenic right ventricular dysplasia. The case seems to suggest that arrhythmogenic right and/or left ventricular dysplasia could be mimicked by chronic (or healed) myocarditis.

Key Words: Chronic myocarditis • ventricular dysplasia • sudden death


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