The role of Magnetic Resonance Imaging in the morpho-functional study of the right ventricle and the correct diagnosis of a case of Arrhythmogenic Cardiomyopathy: a case study

Abstract

Arrhythmogenic Right Ventricular dysplasia (ARVD) is an inherited disease characterized by fibro-adipose replacement of cardiac tissue, which can lead to severe arrhythmias and sudden cardiac death, especially in young athletes. This experimental study analyzes the efficacy of Magnetic Resonance Imaging (MRI) in the early diagnosis and monitoring of ARVD, highlighting how this diagnostic technique represents the gold standard for the morpho-functional evaluation of the right ventricle. 43 patients were examined, one of whom tested positive for ARVD, thanks to the diagnostic parameters obtained (RVEDVi, RVESVi and FE) and Delayed enhancement sequences by MRI. It was found that the reference parameters of the TASK FORCE 2010 were exceeded with values of RVEDVi equal to 110 ml/m² and FE equal to 36% and in the DE sequences we had an accumulation of contrast medium in the free wall of the right ventricle.