Inflammation—A Possible Link between Myocarditis and Arrhythmogenic Cardiomyopathy

Arrhythmogenic cardiomyopathy is a primary genetic disease caused by mutations in the desmosome genes. Ever since the introduction of new imaging techniques, like cardiovascular magnetic resonance, the diagnosis of arrhythmogenic cardiomyopathy has become more challenging as left ventricular or bive...

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Main Authors: Ioan Radu Lala, Adina Pop-Moldovan
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/3/248
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author Ioan Radu Lala
Adina Pop-Moldovan
author_facet Ioan Radu Lala
Adina Pop-Moldovan
author_sort Ioan Radu Lala
collection DOAJ
description Arrhythmogenic cardiomyopathy is a primary genetic disease caused by mutations in the desmosome genes. Ever since the introduction of new imaging techniques, like cardiovascular magnetic resonance, the diagnosis of arrhythmogenic cardiomyopathy has become more challenging as left ventricular or biventricular variants may have resemblance to other cardiomyopathies or myocarditis. Not only this but they may also share an acute phase, which might cause even more confusion and misdiagnoses and influence the prognosis and outcome. In this case report, we present a 31-year-old patient with multiple clinical pictures: his symptoms were acute chest pain, new onset of heart failure and arrhythmia symptoms, which determined a dynamic change in clinical diagnosis and management, ultimately taking into consideration arrhythmogenic cardiomyopathy. Through the article, we try to uncover and explain common pathophysiological pathways shared by arrhythmogenic cardiomyopathy and other clinical entities with a special focus on inflammation. The final question remains: <i>“If there is more than one heart disorder that eventually leads to the same clinical image, one may wonder, is arrhythmogenic cardiomyopathy a syndrome rather than a specific condition?”.</i>
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spelling doaj.art-63cfae63d9c6496aa4478bf2af0d33af2024-02-09T15:09:57ZengMDPI AGDiagnostics2075-44182024-01-0114324810.3390/diagnostics14030248Inflammation—A Possible Link between Myocarditis and Arrhythmogenic CardiomyopathyIoan Radu Lala0Adina Pop-Moldovan1Departement of Cardiology, Arad Emergency Clinical County Hospital, 310037 Arad, RomaniaDepartement of Cardiology, Arad Emergency Clinical County Hospital, 310037 Arad, RomaniaArrhythmogenic cardiomyopathy is a primary genetic disease caused by mutations in the desmosome genes. Ever since the introduction of new imaging techniques, like cardiovascular magnetic resonance, the diagnosis of arrhythmogenic cardiomyopathy has become more challenging as left ventricular or biventricular variants may have resemblance to other cardiomyopathies or myocarditis. Not only this but they may also share an acute phase, which might cause even more confusion and misdiagnoses and influence the prognosis and outcome. In this case report, we present a 31-year-old patient with multiple clinical pictures: his symptoms were acute chest pain, new onset of heart failure and arrhythmia symptoms, which determined a dynamic change in clinical diagnosis and management, ultimately taking into consideration arrhythmogenic cardiomyopathy. Through the article, we try to uncover and explain common pathophysiological pathways shared by arrhythmogenic cardiomyopathy and other clinical entities with a special focus on inflammation. The final question remains: <i>“If there is more than one heart disorder that eventually leads to the same clinical image, one may wonder, is arrhythmogenic cardiomyopathy a syndrome rather than a specific condition?”.</i>https://www.mdpi.com/2075-4418/14/3/248inflammationmyocarditisarrhythmogenic cardiomyopathycardiovascular magnetic resonance
spellingShingle Ioan Radu Lala
Adina Pop-Moldovan
Inflammation—A Possible Link between Myocarditis and Arrhythmogenic Cardiomyopathy
Diagnostics
inflammation
myocarditis
arrhythmogenic cardiomyopathy
cardiovascular magnetic resonance
title Inflammation—A Possible Link between Myocarditis and Arrhythmogenic Cardiomyopathy
title_full Inflammation—A Possible Link between Myocarditis and Arrhythmogenic Cardiomyopathy
title_fullStr Inflammation—A Possible Link between Myocarditis and Arrhythmogenic Cardiomyopathy
title_full_unstemmed Inflammation—A Possible Link between Myocarditis and Arrhythmogenic Cardiomyopathy
title_short Inflammation—A Possible Link between Myocarditis and Arrhythmogenic Cardiomyopathy
title_sort inflammation a possible link between myocarditis and arrhythmogenic cardiomyopathy
topic inflammation
myocarditis
arrhythmogenic cardiomyopathy
cardiovascular magnetic resonance
url https://www.mdpi.com/2075-4418/14/3/248
work_keys_str_mv AT ioanradulala inflammationapossiblelinkbetweenmyocarditisandarrhythmogeniccardiomyopathy
AT adinapopmoldovan inflammationapossiblelinkbetweenmyocarditisandarrhythmogeniccardiomyopathy