Case Study

Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)

Patient: A 59-year-old male patient with no previous medical history presented to the ER with dizziness.

Initial Examination: The patient was hypotensive and tachycardic. ECG revealed ventricular tachycardia. Due to hemodynamic decompensation successful DC cardioversion to sinus rhythm was performed.

Kosmos POCUS Examination: After the restoration of normal rhythm, a bedside exam with Kosmos revealed dyskinesia of the RV inflow region, suggesting ARVC (Arrhythmogenic right ventricular cardiomyopathy). The diagnosis was later confirmed with cMR.

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Video 1

Subcostal LAX view showing dilated right ventricle with dyskinesia of the RV inflow region

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Video 2

Subcostal SAX view showing regional RV dyskinesia and low normal left ventricular systolic function

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Video 3

Subcostal SAX view at the level of the aortic valve demonstrating dyskinesia of the RV inflow region

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