Heart failure & cardiomyopathiesCohort study

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

JACC Cardiovasc ImagingPublished

  • Longitudinal cohort study

Median follow-up 96 months (Q1-Q3: 73-132) arrhythmogenic right ventricular cardiomyopathy (ARVC) and 82 months (Q1-Q3: 50-118) exercise-induced arrhythmogenic cardiomyopathy (EiAC)

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
EiAC vs ARVC
  • EiACn = 41
  • ARVCn = 125reference
Outcome
Structural, functional and arrhythmic disease progression (repeated echocardiography and incident VA)
Follow-up
Long-term

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