To explore prognostic role of clinical characteristics and CMR based strains in ARVC patients. CMR was performed in 45 ARVC patients. LV global strains in ARVC patients was significantly reduced than controls. Patients with syncope had statistically lower LV global stains and greater LGE incidence than without syncope. At 1037.51 ± 603.38 days mean follow-up, 14 patients reached end point. By univariate and multivariate regression analysis, syncope (OR= 48.66, [4.20-564.46]; P=0.002) and GLS> -12.72% (OR= 16.96, [1.79-160.66]; P=0.014) remained significantly associated with end point. Therefore, our study found syncope and GLS> -12.72% could predict adverse events in patients with ARVC
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