Familial sick sinus syndrome
Arrhythmogenic right ventricular cardiomyopathy
Answer : D Wellens syndrome
he most common abnormality in arrhythmogenic right ventricular cardiomyopathy (ARVC) consists of T wave inversion in the precordial leads that reflects the right ventricle (V1–V3).
The management options include beta blockers, antiarrhythmic drugs, electrophysiological catheter ablation, or implantable cardioverter defibrillator(ICD) placement.
ARVC is typically inherited as an autosomal dominant pattern with variable penetrance and incomplete expression.
All first-degree family members should be screened for ARVC/D. Screening including ECG, echocardiogram, signal-averaged ECG, Holter monitor, cardiacMRI, and exercise stress test should begin during the teenage years.