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Angina Pectoris with Troponin Increase in Arrhythmogenic Right Ventricle Dysplasia: Case Article and Review of the Literature

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Abstract

A 16-year-old Hispanic girl with arrhythmogenic right-ventricle dysplasia (ARVD) presented with angina pectoris and troponin increase on three occasions. There was a family history of sudden cardiac death in a cousin. Her mother was diagnosed with ARVD. The patient herself had a history of nonsustained ventricular tachycardia but did not meet diagnostic criteria for ARVD. Cardiac workup, including serial transthoracic echocardiograms and a coronary angiogram, showed a structurally normal heart without coronary artery stenosis. Results of cardiac magnetic resonance imaging were questionable, but endomyocardial biopsy did not show evidence of viral myocarditis by polymerase chain reaction. Genetic testing confirmed ARVD.

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References

  1. Baumwart RD, Orvalho J, Meurs KM (2007) Evaluation of serum cardiac troponin I concentration in boxers with arrhythmogenic right ventricular cardiomyopathy. Am J Vet Res 68(5):524–528

    Article  PubMed  CAS  Google Scholar 

  2. Kostis W, Tedford R, Miller D, Schulman S, Tomaselli G (2008) Troponin-I elevation in a young man with arrhythmogenic right ventricular dysplasia/cardiomyopathy. J Interv Card Electrophysiol 22:49–53

    Article  PubMed  Google Scholar 

  3. Marcus FI, Fontaine GH, Guiraudon G, Frank R, Laurenceau JL, Malergue C et al (1982) Right ventricular dysplasia: a report of 24 adult cases. Circulation 65(2):384–898

    Article  PubMed  CAS  Google Scholar 

  4. Marcus FI, McKenna WJ, Sherrill D, Basso C, Bauce B, Bluemke DA (2010) Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Eur Heart J 31(7):806–814

    Article  PubMed  Google Scholar 

  5. Onaka H, Hirota Y, Shimada S, Kita Y, Sakai Y, Kawakami Y et al (1996) Clinical observation of spontaneous anginal attacks and multivessel spasm in variant angina pectoris with normal coronary arteries: evaluation by 24-hour 12-lead electrocardiography with computer analysis. J Am Coll Cardiol 27:38–44

    Article  PubMed  CAS  Google Scholar 

  6. Stern S, Bayes de Lunda A (2009) Coronary artery spasm. A 2009 update. Circulation 119:2531–2534

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Pediatric Cardiology, Penn State Hershey Medical College, Hershey, PA, 17033, USA

    Jonathan Wagner, Mark H. Cohen, Marnie O’Donnell & Linda B. Pauliks

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  1. Jonathan Wagner
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  2. Mark H. Cohen
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  3. Marnie O’Donnell
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  4. Linda B. Pauliks
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Correspondence to Linda B. Pauliks.

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Wagner, J., Cohen, M.H., O’Donnell, M. et al. Angina Pectoris with Troponin Increase in Arrhythmogenic Right Ventricle Dysplasia: Case Article and Review of the Literature. Pediatr Cardiol 33, 659–662 (2012). https://doi.org/10.1007/s00246-012-0174-2

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  • DOI: https://doi.org/10.1007/s00246-012-0174-2

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