An epsilon wave in arrhythmogenic right ventricular cardiomyopathy/dysplasia

Chun Chi You, Yuan Teng Tseng, Ming Hsiung Hsieh

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


A 53-year-old male presented to our emergency department with a sudden onset of ventricular tachycardia with left bundle branch block and right axis deviation. After the tachyarrhythmia converting to sinus rhythm, the ECG displayed sinus rhythm with a typical epsilon wave in leads V1 and V2. Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) was suspected. The epsilon wave is the most specific hallmark for the diagnosis of ARVD/C, although it is insensitive. For the management of these patients, antiarrhythmic medications appear to be effective. However, implantable cardioverter defibrillators are the only reliable treatment to prevent sudden cardiac death.

Original languageEnglish
Pages (from-to)e63-e64
JournalInternational Journal of Cardiology
Issue number2
Publication statusPublished - Jul 10 2007


  • Cardiomyopathy
  • ECG
  • Right ventricle

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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