The diagnostic value of electrocardiogram in the left variants of desmosomal arrhythmogenic cardiomyopathy
Electrocardiogram (ECG) may play a crucial role in the diagnosis of left-sided variants of desmosomal arrhythmogenic cardiomyopathies. This article discusses the most common ECG changes, such as T-wave inversion and low QRS voltages, and new ECG signs such as Q-waves, low voltages in specific leads, posterior fascicle block, and R/S ratio ≥ 0.5 in V1. In addition, ventricular arrhythmias have peculiar features in these patients. Electrocardiogram may be an early marker of this insidious cardiomyopathy and allow to avoid sudden cardiac death often in young people. Electrocardiogram abnormalities may also be indicators of disease evolution over time.
Authors
- Matteo Stefanini (ORCID: https://orcid.org/0000-0001-5485-1546)
- Maria Ludovica Danza (ORCID: https://orcid.org/0000-0002-6269-3485)
- Elisa Silvetti (ORCID: https://orcid.org/0000-0002-7906-9996)
- Leonardo Calò (ORCID: https://orcid.org/0000-0002-6062-5286)
- Germana Panattoni (ORCID: https://orcid.org/0009-0002-1837-8565)
- Elisa Fedele (ORCID: https://orcid.org/0009-0007-1457-061X)
- Fabiana Romeo (ORCID: https://orcid.org/0000-0001-8604-4925)
- Cinzia Crescenzi (ORCID: https://orcid.org/0000-0003-0501-608X)
- Alessandro Politano
- Emanuele Canali
- Chiara Lanzillo (ORCID: https://orcid.org/0000-0001-5469-6283)
- Stefano Canestrelli
- Armando Fusco (ORCID: https://orcid.org/0000-0003-0482-7008)
- Annamaria Martino
- Pellegrino Ciampi
- Federica Toto
Institutions
- Foro Italico University of Rome (IT)
- Policlinico Casilino (IT)
Publication Details
- Journal
- European Heart Journal Supplements
- Published
- 2025-02-01
- DOI
- https://doi.org/10.1093/eurheartjsupp/suae110
- Citations
- 1
- Primary Topic
- Cardiovascular Effects of Exercise
- Type
- article
- Field-Weighted Citation Impact
- 1.39