Syncope... one more case. Arrhythmogenic cardiomyopathy of the right ventricle

Abstract

Introduction: Syncope is defined as a transitory alteration of the consciousness with spontaneous recovery due to an alteration in general cerebral perfusion and is a very common medical condition in the primary care centers and Emergency. It could be the first manifestation of a cardiac condition (6-30% prevalence), being considered in this situation a bad prognosis marker and high-risk marker of sudden death. Clinical case: Male, 25 years old in the emergency because of syncope. He has had these events three times in the last four months. The patient denies chronic-degenerative diseases and resting EKG shows alteration in repolarization in right precordial electrodes. Discussion: Syncope is a high-prevalence clinical manifestation in the primary care medical centers and ER, the meticulous medical approach in each of the events as the first paraclinical studies are directed toward a cardiac condition as the first differential diagnosis, considering primary electro conduction alteration such as myocardiopathy vs alteration in ion transporting channels which have a genetic origin and have a high risk of sudden death. Conclusions: When following the protocol of one more case of syncope in the ER service, clinical and paraclinical studies conclude a defi nitive diagnosis of arrhythmogenic myocardiopathy in the right ventricle, showing two mayor and two minor principles of genotypifi cation with a report of plakophilin 2 polymorphism.