PMC3987383_01
Resting 12-lead ECG showing T-wave inversion from V2 to V6 (major diagnostic
criteria) and epsilon waves in V1-V3 (major diagnostic criteria).
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Further, an epsilon wave in leads V1-V3 (Figure 1) led to the suspicion of ARVC.
A) Steady-state free precession cine magnetic resonance imaging (RV
long axis view) indicated regional RV dyskinesia (arrows) at end-systole.
B) CMR imaging acquired 10 min after gadolinium injection (0.1
mM). Note the subepicardial late enhancement in the LV lateral wall (arrows)
proximal to a small area of late enhancement in the RV.
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No signs of fatty tissue infiltration were observed, but regional RV dyskinesia in the free wall and outflow tract was identified (Figure 2A). Subepicardial delayed enhancement was observed the lateral basal and middle segments of LV as well as a small focal area of the RV free wall (Figure 2B).