Sudden Death and Sports

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One of the 216 individuals who have made a significant contribution to the study of cardiovascular .... More than Incomplete Right Bundle Branch Block. MRI.
OMICS and Nobel Prize Ada Yonath invitee Guy Hugues Fontaine MD PhD HDR FACC FAHA FESC FHRS One of the 216 individuals who have made a significant contribution to the study of cardiovascular disease since 14th Century Willis Hurst, Richard Conti, Bruce Fye

Foundation for the Advance of Medicine and Science Mahwah NJ USA 2003

One of the “Life Time of Achievement ONE HUNDRED” International Biographical Center (IBC) Melrose Press Ltd, Cambridge England UK 2006 One of the “500 Greatest Geniuses of the 21th Century” American Biographic Institute (ABI) Selection made by 7,000 Researchers mostly from Universities around the World after study of achievements for the past three decades Raleigh NC USA 2009

Berlin OMICS 19 Jul 2016

Ada Yonath got a well deserved Nobel Prize because or understanding the role of Ribosome for analysing RNA and production of proteins

In the field of Science jealousness is very frequent I am not jealous because I received the ultimate award better than a Nobel Prize !!!

This Award was to be invited to give11 master lectures of 90 min each in the best universities of China during three weeks in May-June 2014

The famous wicker chair of Mao Zedong

It took three months of discussions to provide documents stressing my 16 original contributions at the beginning of cardiac pacing, antiarrhythmic surgery, Identification of ARVD Extension to ARVCs and other forms of inherited cardiomyopathies

Recognition by famous American cardiologists such as Willis Hurst, Richard Conti, Bruce Frye Who have included my name in the 216 individuals who have made a significant contribution to the study of cardiovascular diseases since the 14th century

Lecturer‘s Profile  216 Profiles in Cardiology Book

Nasal Cooling Overview

This explains why OMICS put me on the program to speak just before the Nobel Prize to talk about a new disease called ARVD (and not ARVC) recently reproduced in the dish from fibroblasts of patients specific mutation Kim Nature 2016

I found the first Pathologic presentation of typical ARVD in a famous Leonardo da Vinci sanguine of the Windsor Collection

Any Echocardiographist in this room will immediately recognize the so-called four cavities basic view of the human heart

Arrhythmogenic Right Ventricular Dysplasia First Document on ARVD XV Century

Leonardo da Vinci - Enlarged RV - Thin wall - Segmental abnormalities - No Fat for didactic reasons !

ARVD as observed after exposition of the heart at sugery

Arrhythmogenic Right Ventricular Dysplasia

Distal Coronary Arteries Clearly visible. RV Infundibulum Aneurysm (Arrow)

Antiarrhythmic Surgery for resistant Ventricular Tachycardia

Arrhythmogenic Right Ventricular Dysplasia ECG of a Typical Ventricular Tachycardia beating at 120/min

Marcus Fontaine et al Circulation 1982

Arrhythmogenic Right Ventricular Dysplasia Electronics for Epicardial Mapping (1971) Epicardial Electrodes Amplifiers

Grid to Identify Measurement Test Points

Oscilloscope for EGM measurements

Atrial Stimulator Ventricular Stimulator PDP-11 Computer

First Map of a Normal Heart Graph by Computer (1977)

First ARVD Patient

Epicardial Maps of the First Arrhythmogenic Right Ventricular Dysplasia Patient Origin of Activation emerging from the Right Branch

RV

Map in Sinus Rhythm

Origin of Activation emerging from the Left Branch

LV

Latest Activated Zone during Ventricular Tachycardia

RV

Emerging Area of Activation during Ventricular Tachycardia

LV

Map during Ventricular Tachycardia

Principle of Simple Ventriculotomy to prevent Ventricular Tachycardia

Right Coronary Artery

Ventriculotomy was a simple section of the wall without removal of tissue Performed at the site of Origin of Ventricular tachycardia

Anterior Coronary Artery

RV

RV Apex

Ventriculotomy

Arrhythmogenic Right Ventricular Dysplasia

ARVD typical Patient from the Veneto Region

Imaging techniques used to evaluate right ventricular function

Arrhythmogenic Right Ventricular Dysplasia

Tissue Doppler Measurement an example

Arrhythmogenic Right Ventricular Dysplasia

I am the reviewer of 22 Scientific Journals in both Basic and Clinical Science and served as a member of the Editorial Board of Circulation during five years after reviewing papers during decades for this journal

Arrhythmogenic Right Ventricular Dysplasia

Arrhythmogenic Right Ventricular Dysplasia

Increased picture of trabeculations + VT With LBBB pattern + Granulomatosis (Sarcoïdosis) Suggested a new variant of ARVD

First ARVD Patient

Observation of the post excitation phenomenon named the Epsilon wave

Arrhythmogenic Right Ventricular Dysplasia

ARVD Surgery

Arrhythmogenic Right Ventricular Dysplasia

Mega Epsilon Wave (MTCRBBB)

Arrhythmogenic Right Ventricular Dysplasia 84 Years Old Lady without Symptom More than Incomplete Right Bundle Branch Block

MRI

Incomplete RBBB >> MTIRBBB

Arrhythmogenic Right Ventricular Dysplasia More than Incomplete Right Bundle Branch Block

How to explain this localised trouble in conduction ?

That will be the subject of my second talk tomorrow just before the Nobel Prize if she Is not too late from Tel Aviv

Histology of RV in ARVD as compared to normal was able to explain the post-excitation phenomenon

First Evidence of a Structural Heart Disease explaining the Electrogenesis of Late Potentials in ARVD Normal Human Heart with a Strong Epicardial Layer of Fat Essential Adipomatosis Cordis

Surviving Fibers inside Epicardial Fat suggesting partial Replacement of Myocardium by Fat and Fibrosis

Epicardium

Epicardium Fat

Graisse

Normal Myocardium

Dysplastic Myocardium

Myocardium Endocardium Note : - Clear Limit between Myocardium and Fat - Absence of Strands of Cardiac Cells inside Fat

Endocardium Myocardial Fibers in Red Interstitial Fibrosis in Pink

Value of OMICS -

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Objective choice of speakers based not only on the most recent publications in good journals but beeing able to consider the global career Independent of corporative organisations such as ESC, AHA, ACC, HR etc. The names of managers are unknown Personal contact person for organisation of talks Fast exchange of info No medical politics All of this explains the

OMICS Exponential growth

Exponential Growth of OMICS

Open Access Journals

Readers

Editorial Members Conferences around the world For me Las

Vegas Vienna Baltimore

Such as this one including a Nobel Prize Ada Yonath Weizmann Institute of Science Israel

ARVD LOGO after WHF LOGO

THANK YOU !

Arrhythmias Department LOGO La Salpêtrière

“The Spring” (La Source) after Brancusi & Ingres Louvre Museum, Paris Calligraphic Painting Oil & Acrylic on Wood 120× 30 by Guy Fontaine 1964 #124 out of 4,500 pieces