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Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) in a Special Operations Soldier: A Case Report
Summary
Special Operations Servicemembers experiencing exertional palpitations may have arrhythmogenic right ventricular cardiomyopathy (ARVC). Early diagnosis and management are crucial for preventing sudden cardiac death in elite athletes.
Area of Science:
- Cardiology
- Sports Medicine
- Military Health
Background:
- Special Operations Servicemembers undergo rigorous physical training.
- Exertional palpitations can indicate serious cardiac conditions, not just benign causes.
Observation:
- A 43-year-old Special Operator presented with palpitations and lightheadedness during physical assessment.
- Initial ECG was unremarkable; however, ambulatory monitoring revealed non-sustained ventricular tachycardia.
Findings:
- Transthoracic echocardiography showed findings suggestive of arrhythmogenic right ventricular cardiomyopathy (ARVC).
- Cardiac MRI confirmed ARVC diagnosis based on the 2020 Padua criteria.
Implications:
- This case highlights the importance of suspecting rare diagnoses like ARVC in physically elite individuals.
- Management involves activity modification, anti-arrhythmic drugs, and potential ICD placement to prevent sudden cardiac death.
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