What is the common complaint among patients with arrhythmogenic right ventricular cardiomyopathy?

Patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) commonly experience palpitations as a primary symptom. This condition is characterized by the replacement of myocardial tissue in the right ventricle with fibrous or fatty tissue, which can disrupt normal electrical conduction and lead to various arrhythmias. As a result, individuals often notice irregular heartbeats or a feeling of their heart racing, which manifests as palpitations.

While dizziness, syncope, and chest pain can certainly occur in patients with ARVC, palpitations are more distinctly associated with the electrical disturbances caused by the condition. Dizziness and syncope usually relate to more severe outcomes of arrhythmias, such as reduced cardiac output or transient loss of consciousness, while chest pain is less common and may be more indicative of other cardiac issues rather than the underlying arrhythmia itself.