{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:47:44Z","timestamp":1740098864358,"version":"3.37.3"},"reference-count":15,"publisher":"Aerospace Medical Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["aerosp med hum perform"],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:p><jats:bold>BACKGROUND:<\/jats:bold> Arrhythmogenic right ventricular cardiomyopathy (ARVC) results in progressive replacement of right ventricular myocardium with fibrofatty tissue. This condition commonly presents with sudden cardiac death, cardiac arrest, or sustained ventricular tachycardia among\n young adults. Considering the likelihood of sudden incapacitation, a diagnosis of ARVC usually signals the end of a career in aviation. However, the morbidity pattern among those diagnosed later in life may differ as compared to the young.<jats:bold>CASE REPORT:<\/jats:bold> A private pilot, in his 60s,\n applied for renewal of an ICAO Class 2 medical certificate a decade after his previous medical certificate had expired. He declared history of hospitalization due to a heart-related condition. Further information revealed that he had been diagnosed as a case of ARVC and that he had declined\n to be implanted with an implantable cardioverter-defibrillator. Recent clinical examination and related cardiovascular investigations were normal except echocardiogram findings of left ventricular hypertrophy and left atrial enlargement. The treating cardiologist, in the absence of history\n of syncope and evidence of right ventricular dysfunction or sustained ventricular tachycardia, considered this condition to be stable with minimal risk of malignant arrhythmia.<jats:bold>DISCUSSION:<\/jats:bold> This case report discusses aeromedical decision making in a pilot found to have ARVC late in\n life. Despite the progressive nature of the condition with its attendant risk of incapacitation, considering the age at diagnosis and absence of any high-risk features of ARVC, the regulator decided to issue the medical certificate with safety pilot restriction to enable this pilot to return\n to aviation activities.<jats:bold>Sharma S. <jats:italic>Arrhythmogenic right ventricular cardiomyopathy in an older private pilot<\/jats:italic>. Aerosp Med Hum Perform. 2022; 93(2):111\u2013115.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.5782.2022","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T04:41:56Z","timestamp":1643776916000},"page":"111-115","source":"Crossref","is-referenced-by-count":0,"title":["Arrhythmogenic Right Ventricular Cardiomyopathy in an Older Private Pilot"],"prefix":"10.3357","volume":"93","author":[{"given":"Sanjiv","family":"Sharma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"issue":"6","key":"B1","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1016\/j.hrthm.2017.02.013","article-title":"Cardiac phenotype and long-term prognosis of arrhythmogenic right ventricular cardiomyopathy\/dysplasia patients with late presentation","volume":"14","author":"Bhonsale","year":"2017","journal-title":"Heart Rhythm."},{"key":"B2","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1093\/eurheartj\/ehz669","article-title":"Arrhythmogenic right ventricular cardiomyopathy: evaluation of the current diagnostic criteria and differential diagnosis","volume":"41","author":"Corrado","year":"2020","journal-title":"Eur Heart J."},{"issue":"3","key":"B3","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/0735-1097(94)00433-Q","article-title":"Arrhythmogenic right ventricular cardiomyopathy in young versus adult patients: similarities and differences","volume":"25","author":"Daliento","year":"1995","journal-title":"J Am Coll Cardiol."},{"issue":"6","key":"B4","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1161\/CIRCRESAHA.110.223412","article-title":"The cardiac desmosome and arrhythmogenic cardiomyopathies: from gene to disease","volume":"107","author":"Delmar","year":"2010","journal-title":"Circ Res."},{"issue":"3","key":"B5","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1161\/CIRCGENETICS.114.001003","article-title":"Clinical presentation, long-term follow-up, and outcomes of 1001 arrhythmogenic right ventricular dysplasia\/cardiomyopathy patients and family members","volume":"8","author":"Groeneweg","year":"2015","journal-title":"Circ Cardiovasc Genet."},{"issue":"8","key":"B6","first-page":"697","article-title":"Arrhythmogenic right ventricular dysplasia: a possible cause of sudden incapacitation","volume":"75","author":"Grossman","year":"2004","journal-title":"Aviat Space Environ Med."},{"issue":"2","key":"B7","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1161\/01.CIR.65.2.384","article-title":"Right ventricular dysplasia: a report of 24 adult cases","volume":"65","author":"Marcus","year":"1982","journal-title":"Circulation."},{"issue":"13","key":"B8","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1161\/CIRCULATIONAHA.108.840827","article-title":"Diagnosis of arrhythmogenic right ventricular cardiomyopathy\/dysplasia: proposed modification of the task force criteria","volume":"121","author":"Marcus","year":"2010","journal-title":"Circulation."},{"issue":"22","key":"B9","first-page":"e273","article-title":"Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: Task Force 3: hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy and other cardiomyopathies, and myocarditis. A scientific statement from the American Heart Association and American College of Cardiology","volume":"132","author":"Maron","year":"2015","journal-title":"Circulation."},{"issue":"3","key":"B10","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.hlc.2015.08.019","article-title":"High arrhythmic burden but low mortality during long-term follow-up in arrhythmogenic right ventricular cardiomyopathy","volume":"25","author":"Martin","year":"2016","journal-title":"Heart Lung Circ."},{"issue":"3","key":"B11","doi-asserted-by":"crossref","first-page":"878","DOI":"10.3390\/jcm9030878","article-title":"Natural history of arrhythmogenic cardiomyopathy","volume":"9","author":"Mattesi","year":"2020","journal-title":"J Clin Med."},{"issue":"1","key":"B12","doi-asserted-by":"crossref","first-page":"7235","DOI":"10.4076\/1752-1947-3-7235","article-title":"Late presentation of arrhythmogenic right ventricular cardiomyopathy: a case report","volume":"3","author":"Papaioannou","year":"2009","journal-title":"J Med Case Rep."},{"issue":"12","key":"B13","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1007\/s12471-016-0886-7","article-title":"Clinical characterisation and risk stratification of patients with arrhythmogenic right ventricular dysplasia\/cardiomyopathy \u226550 years of age","volume":"24","author":"van der Pols","year":"2016","journal-title":"Neth Heart J."},{"key":"B14","first-page":"118","article-title":"Arrhythmogene Rechtsventrikul\u00e4re Kardiomyopathie: Sportmedizinische Aspekte [Arrhythmogenic Right Ventricular Cardiomyopathy \u2013 Issues in Sports Medicine]","volume":"56","author":"Wichter","year":"2005","journal-title":"Dtsch Z Sportmed."},{"issue":"3","key":"B15","first-page":"256","article-title":"Arrhythmogenic right ventricular cardiomyopathy in a 52-year-old man - clinical presentation mimicking an acute coronary syndrome","volume":"9","author":"Zandecki","year":"2013","journal-title":"Postepy Kardiol Interwencyjnej."}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/93\/2\/article-p111.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/93\/2\/article-p111.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/93\/2\/article-p111.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:02:20Z","timestamp":1740096140000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/93\/2\/article-p111.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,1]]},"references-count":15,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3357\/amhp.5782.2022","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"type":"print","value":"2375-6314"},{"type":"electronic","value":"2375-6322"}],"subject":[],"published":{"date-parts":[[2022,2,1]]}}}