[ARVD-FORUM] Some more remarks. Dr. Mesquita

[ARVD Symposium]

English - Portuguese

In my 25 years as a professional and specialist in cardiology, I only had
one case of ARVD, approximately 50 years old, and already using ICD and
amiodarone due to ventricular tachycardias. Do you think it would be
interesting if I published this? She is clinically well, after suffering an
emotional bipolar disorder 4 months ago, when she needed to be admitted in a
Psychiatric Hospital. A medical office case! Warm regards for everyone,

Mesquita
"Eduardo Mesquita Oliveira" <mesquita at einstein.br>

------------------------

Em meus 25 anos de formado e especialista em cardiologia, so tenho um caso
de DAVD, com aproximadamente 50 anos  e ja fazendo uso de CDI e amiodarona,
devido as Taquicardias Ventriculares. Seria interessante eu publicar?
Clinicamente esta bem, apos ter tido um Transtorno Bipolar emocional ha 4
meses, necessitando ser internada em Hopital Psiquiatrico. Caso de
consultorio!  Abraços a todos.

Mesquita
"Eduardo Mesquita Oliveira" <mesquita at einstein.br>

>
> English - Spanish
> Dear Guy,
>
> We definitely value your opinion and it could well be that the disease is
> largely underestimated. At least when we compare with number of cases seen
> clinically of LQTS, HCM, even Brugada syndrome, ARVD is far behind, very
> rare.
>
> But, the virtual symposium is exactly good forum to express such opinions
> and
> we appreciate you writing a paragraph on it and we will send your comment
> to all participants.
>
> Best regards
>
> Wojciech
>
> ----------------------
>
> Estimado Guy:
>
> Definitivamente valoramos tu opinion y bien podria ser que la enfermedad
> este enormemente menospreciada. Por lo menos cuando la comparamos con el
> numero de casos vistos clinicamente de LQTS, CMH, incluso del Sindrome de
> Brugada, la DAVD esta muy por detras con respecto a las otras, por eso es
> rara.
>
> Pero el Simposio Virtual es exactamente el foro para expresar tales
> opiniones, y apreciamos que escribas un parrafo al respecto. Nosotros
> enviaremos tus comentarios a todos los participantes.
>
> Saludos cordiales,
>
> Wojciech
>
>
> t _______________________________________
>
> > English - Spanish
> >
> > Dear Wojciech
> >
> > I do not agree with the statement that ARVD is a rare disease !
> >
> > The histologic substrate of RVD is found in 3.7 % of the general
> > population
> >
> > only few patients are referred to tertiary centers because of
> > arrhythmias.
> >
> > Around 3-5 cases each month are seen in Paris in the Forensic Medicine
> > Institution
> >
> > 10 cases are studied each day !
> >
> > In addition many patients have concealed RV dysfunction. This is visible
> > only in case of independent LV failure
> > Therefore ARVD and Fat Dissociation Syndrome (see my histopathologic
> > plates) are important pronostic factors as recently reported.
> >
> > Best regards
> >
> > Guy
> >
> > ----------------
> >
> > Estimado Wojciech
> >
> > No coincido con la idea de que la DAVD es una enfermedad rara!
> > El sustrato histologico de DVD se encuentra en el 3,7 % de la poblacion
> > general, solo unos pocos pacientes son derivados a centros terciarios
> > debido a arritmias.
> >
> > En Paris se ven alrededor de 3-5 casos por mes; en la Forensic Medicine
> > Institution se estudian 10 casos cada dia!
> >
> > Ademas, muchos pacientes tienen disfuncion oculta del VD. Esto solo es
> > evidente en el caso de insuficiencia independiente del VI.
> > Por lo tanto, la DAVD y el Sindrome de Disociacion de Adiposidad (ver mis
> > placas histopatologicas) son factores de pronostico importantes como se
> > informo recientemente.
> >
> > Saludos cordiales,
> >
> > Guy

-- 
Dr. Sergio Dubner
Co-Chair of Steering Committee

Dr. Edgardo Schapachnik
Co-Chair of Steering Committee