skip to main content

ARVC — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

HardCardiologyARVCRACP Paediatrics

A 16-year-old boy collapses during a football match and is successfully resuscitated. Resting ECG shows T-wave inversion in V1-V4 with epsilon waves. What is the most appropriate investigation to confirm the suspected diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Cardiac MRI

T-wave inversion in the right precordial leads with epsilon waves in a young athlete with sudden cardiac arrest suggests arrhythmogenic right ventricular cardiomyopathy (ARVC). Cardiac MRI is the investigation of choice to confirm the diagnosis by demonstrating right ventricular dilatation, regional wall motion abnormalities, and fibrofatty replacement.

Reference: RACP Paediatric Curriculum – Cardiology; RCH Melbourne – 2023 – Sudden Cardiac Arrest