Hi doctor,I am 25 years old，male，had PSVT and did an RFA surgery two months back，caught a VT during Holter recently，UCG clear，MRI says left ventricular septum thickening about 20 percent. The local doctor thinks it is a viral myocardity，another doctor that I know says he saw of QRS and he thinks might be ARVC，what is your suggestion? I have high BP sometimes，and now taking Bisoplor and coenzyme q10.
Hello. Firstly, the possibility of ARVC (arrhythmogenic right ventricular cardiomyopathy) is less. MRI or echo would pick changes in the right ventricle. I guess right ventricle is normal on echo and MRI so unlikely to be ARVC. Next thing, you mentioned about thickening of the septum in MRI. What is about your echo finding, does it suggest anything pointing towards hypertrophic cardiomyopathy? So we should rule out hypertrophic cardiomyopathy. If possible, please upload your echo, MRI and routine ECG for interpretation. Regarding the possibility of viral myocarditis, it would show some changes on echo or MRI so that is also a less likely possibility if echo and MRI not showing any consistent changes. Also, troponin would be positive in active myocarditis. So I would once like to go through your detailed report and see if we can get some clue regarding diagnosis or else we will have to treat it like idiopathic VT (ventricular tachycardia). For more information consult a cardiologist online -->