[Skip to Content]
[Skip to Content Landing]

Cardiac Magnetic Resonance (CMR) Image in a Woman With Bulimia and Wide Complex Tachycardia

A woman in her 30s with bulimia developed ventricular tachycardia with syncope. After stabilization and repletion of electrolytes, electrocardiography showed multiform ventricular complexes and repolarization abnormalities. She underwent imaging to identify structural abnormalities that might underlie her arrhythmia, and the cardiac magnetic resonance imaging (CMR) study illustrated here showed borderline reduced right ventricular (RV) ejection fraction (47%), borderline increased RV end-diastolic volume, and dyskinesis of the base of the RV. The findings of RV dyskinesia and mildly depressed RV ejection fraction on CMR along with the presenting arrhythmia and electrocardiography repolarization abnormalities met Revised Task Force Criteria for the diagnosis of arrhythmogenic RV cardiomyopathy (1 major + 2 minor criteria), a genetic form of nonischemic cardiomyopathy manifest as ventricular wall motion abnormality caused by fibrofatty replacement of myocardium. Click the article link for a complete case discussion and images of her electrocardiograms.

Our websites may be periodically unavailable between 7:00pm CT December 9, 2023 and 1:00am CT December 10, 2023 for regularly scheduled maintenance.

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 Credit(s)™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Close
Close

Lookup An Activity

or

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close