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PubMed Central
Article . 2025
License: CC BY
Data sources: PubMed Central
Cureus
Article . 2025 . Peer-reviewed
Data sources: Crossref
Cureus
Article
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Desmoplakin Cardiomyopathy: Myocarditis-Like Episodes

Authors: Fatrous, Tarek; Ibzea, Sara; Zahir Hussain, Sharafath Hussain;

Desmoplakin Cardiomyopathy: Myocarditis-Like Episodes

Abstract

We report a case of a 21-year-old woman who presented with recurrent chest pain over a three-year period, initially attributed to myocarditis. She first presented with elevated troponin levels and myocardial oedema on cardiac magnetic resonance imaging (MRI), consistent with acute myocarditis. Despite symptomatic management and a gradual return to activity, she experienced multiple relapses characterised by chest pain, subtle left ventricular dysfunction, and persistent myocardial scarring on serial MRI, but without active inflammation. A multidisciplinary evaluation and genetic testing revealed a heterozygous deletion in the desmoplakin (DSP) gene, confirming the diagnosis of desmoplakin cardiomyopathy. Electrocardiographic abnormalities included T-wave inversions in the anterior and lateral leads. Due to her elevated risk of sudden cardiac death, she underwent implantation of a subcutaneous implantable cardioverter-defibrillator (s-ICD) for primary prevention. This case highlights that DSP cardiomyopathy should be considered in the differential diagnosis of recurrent myocarditis-like presentations, particularly in young individuals with non-ischaemic findings and suggestive imaging features.

Keywords

Cardiology

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green