Heart failure & cardiomyopathies

Disease Progression in Exercise-Induced Arrhythmogenic Cardiomyopathy Compared With Arrhythmogenic Right Ventricular Cardiomyopathy

JACC Cardiovasc ImagingPublished Longitudinal cohort study

Authors' conclusion

RV structure and function deteriorated in ARVC patients but remained stable in EiAC patients during follow-up. The incidence of VA was high in both populations.

Study context

Population
Exercise-induced arrhythmogenic cardiomyopathy vs genotype-positive arrhythmogenic right ventricular (RV) cardiomyopathy730 echocardiographic examinations
Participants
41 vs 125
Exposure
Exercise-induced arrhythmogenic cardiomyopathy (EiAC) vs arrhythmogenic right ventricular cardiomyopathy (ARVC)
  • EiACn = 41
  • ARVCn = 125reference
Outcome
Structural, functional and arrhythmic disease progression (repeated echocardiography and incident VA)
Follow-up
Long-term
Methodological detailsMedian follow-up 96 months (Q1-Q3: 73-132) ARVC and 82 months (Q1-Q3: 50-118) EiAC
  • Median follow-up 96 months (Q1-Q3: 73-132) ARVC and 82 months (Q1-Q3: 50-118) EiAC

Main finding

As reported in the abstract

RV structure and function
  • RV structure and function remained stable in EiAC, deteriorated in ARVC during follow-up

Observational data: associations, not effects.

Further findings

5-year and 10-year cumulative incidence of ventricular arrhythmias (VA)

Similar between EiAC and ARVC

Original publication

Disease Progression in Exercise-Induced Arrhythmogenic Cardiomyopathy Compared With Arrhythmogenic Right Ventricular Cardiomyopathy. JACC Cardiovasc Imaging. Published 9 July 2025. doi:10.1016/j.jcmg.2025.03.018

Summarised from the published abstract; every number is checked against it

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