5th July 2026

A 45-year-old man with a diagnosis of ARVC presents to the emergency department after experiencing recurrent episodes of syncope over the last month.

A 45-year-old man with a diagnosis of ARVC presents to the emergency department after experiencing recurrent episodes of syncope over the last month. He has a family history of sudden cardiac death. An echocardiogram shows evidence of right ventricular dilation but preserved ejection fraction. Holter monitoring reveals frequent ventricular tachycardia episodes, prompting the cardiology team to consider device therapy. When is implantation of an ICD indicated in patients with ARVC?

Select the SINGLE most appropriate option from the list below. Select ONE option only.