Pieles GE, et al. - Researchers assessed the utility of echocardiographic indices, like those used in modified Task Force Criteria (mTFC) and others such as strain imaging, for detecting arrhythmogenic right ventricular cardiomyopathy (ARVC) in adolescence. They performed a retrospective assessment of echocardiograms from 120 adolescents examined for ARVC (13±4 years). They categorized patients into definite (n=38), borderline (n=39), or possible (n=43) ARVC based on the mTFC and compared the results with 35 healthy controls. Between patients and controls and across the different diagnostic groups, a significant difference was observed in mTFC echocardiographic criteria, but most of the adolescent ARVC patients did not meet current echocardiographic mTFC in this cohort, especially when indexed to body surface area. The diagnostic yield of echocardiography for ARVC could be increased by measurement of right ventricular apical dimensions and strain.