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Arrhythmogenic Right Ventricular Cardiomyopathy — EECC MCQ

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ModerateCardiomyopathyArrhythmogenic Right Ventricular CardiomyopathyEECC

A 35-year-old man is diagnosed with ARVC following presentation with sustained VT. He has RV dilatation, RV free wall akinesis, and fibro-fatty replacement on CMR. He meets 2010 Task Force Criteria for definite ARVC. Genetic testing reveals a PKP2 pathogenic variant. What exercise recommendation is appropriate?

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Correct answer: C — Low-to-moderate intensity exercise is permitted; competitive sports should be avoided

Explanation lettering: E = shown as A · D = shown as B · A = shown as C · B = shown as D · C = shown as E

Per the 2023 ESC Cardiomyopathy Guidelines, regular low-to-moderate intensity exercise is recommended in all patients with cardiomyopathy (Class I). However, moderate-to-high-intensity activity is not recommended in ARVC (Class III, LOE B). Competitive sports should be avoided. Complete avoidance (B) is excessive. An ICD does not permit competitive sports (C). High-intensity exercise (D) promotes disease progression. The restriction is not limited to endurance sports (E).

Reference: ESC (2023): Guidelines for the Management of Cardiomyopathies