Multimodality imaging in arrhythmogenic left ventricular car
The following case appears in European Heart Journal-Case Reports.

A 17-year-old girl with no prior medical or family history presented with palpitations. There was no abnormality on clinical examination. Trans-thoracic echocardiography was normal. Continuous electrocardiogram Holter monitoring showed frequent ventricular ectopic beats. A 12-lead electrocardiogram showed small R waves in V1 and V2 suggested the origin was the LVOT rather than the right.

She went on to have cardiac magnetic resonance imaging (CMR). This showed mildly impaired left ventricular function (left ventricular ejection fraction 48%, EDV 71 mL/m2, ESV 37 mL/m2). There was hypokinesia and thinning of the lateral left ventricular wall. There was evidence of patchy epicardial late gadolinium enhancement in the lateral left ventricular wall.

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