Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of suspected ARVC. Chief complaints include [palpitations/syncope/presyncope/sustained VT]. History significant for [family history of sudden cardiac death/ARVC]. Symptom onset associated with [exercise/emotional stress/rest]. Absence of [chest pain/dyspnea/orthopnea]. Review of systems negative for constitutional symptoms.
Clinical Examination Findings
Cardiovascular exam: Regular rate and rhythm, S1/S2 normal. Presence of [RV heave/S3/S4/systolic murmur at left sternal border]. JVP [elevated/normal]. Peripheral pulses symmetric. No peripheral edema. Lungs clear to auscultation. Neurological exam intact.
Treatment Protocol
Plan: 1. Initiate [Beta-blocker/Antiarrhythmic therapy] for symptom control. 2. ICD implantation indicated for [primary/secondary] prevention of SCD. 3. Strict restriction from competitive sports. 4. Family screening via genetic testing and cardiac imaging. 5. Follow-up with electrophysiology.