VENTRICULAR TACHYCARDIA AS A FIRST PRESENTATION OF ARRHYTHMOGENIC RIGHT VENTRICULAR CARDIOMYOPATHY (ARVC) IN A PREVIOUSLY ASYMPTOMATIC SEXAGENARIAN

Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) is characterised by morphological and histological changes in the ventricles. Progressive myocyte loss fibrofatty tissue replacement, producing islands of scar, can lead to reentrant tachycardia sudden cardiac death. It usually presents as chest pain, palpitations, heart failure, or syncope. The majority cases are seen before age 40. Ventricular arrhythmia a first presentation elderly infrequently. We present case previously asymptomatic 62-year-old gentleman who had an episode manifestation ARVC without having any positive family history for this disease. He was managed with amiodarone later planned implantable defibrillator (ICD).