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Unique Association of Rare Cardiovascular Disease in an Athlete With Ventricular Arrhythmias.

Santomauro V, Contursi M, Dellegrottaglie S, Borsellino G - Transl Med UniSa (2014)

Bottom Line: Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport.The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques.Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

View Article: PubMed Central - PubMed

Affiliation: Sports Cardiology Center, "Check-Up Day-Surgery" Centro Polispecialistico, Salerno, Italy.

ABSTRACT
Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport. The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques. Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

No MeSH data available.


Related in: MedlinePlus

24-hour ECG Holter monitoring.On the left and at the center. Standard three-channels recording. Sustained monomorphic ventricular tachicardia, lasting about 35 seconds. Right. Twelve-leads option recording. Beginning of a non-sustained ventricular tachicardia with left axis deviation and right bundle branch block morphology.
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f1-tm-12-60: 24-hour ECG Holter monitoring.On the left and at the center. Standard three-channels recording. Sustained monomorphic ventricular tachicardia, lasting about 35 seconds. Right. Twelve-leads option recording. Beginning of a non-sustained ventricular tachicardia with left axis deviation and right bundle branch block morphology.

Mentions: A 60-year-old male high-level tennisplayer was referred at our outpatient sports cardiology clinic for palpitations after competition. 24-hour Holter ECG recordings revelead frequent and complex ventricular arrhythmias with dominant right bundle branch block morphology (Fig. 1).


Unique Association of Rare Cardiovascular Disease in an Athlete With Ventricular Arrhythmias.

Santomauro V, Contursi M, Dellegrottaglie S, Borsellino G - Transl Med UniSa (2014)

24-hour ECG Holter monitoring.On the left and at the center. Standard three-channels recording. Sustained monomorphic ventricular tachicardia, lasting about 35 seconds. Right. Twelve-leads option recording. Beginning of a non-sustained ventricular tachicardia with left axis deviation and right bundle branch block morphology.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4592045&req=5

f1-tm-12-60: 24-hour ECG Holter monitoring.On the left and at the center. Standard three-channels recording. Sustained monomorphic ventricular tachicardia, lasting about 35 seconds. Right. Twelve-leads option recording. Beginning of a non-sustained ventricular tachicardia with left axis deviation and right bundle branch block morphology.
Mentions: A 60-year-old male high-level tennisplayer was referred at our outpatient sports cardiology clinic for palpitations after competition. 24-hour Holter ECG recordings revelead frequent and complex ventricular arrhythmias with dominant right bundle branch block morphology (Fig. 1).

Bottom Line: Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport.The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques.Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

View Article: PubMed Central - PubMed

Affiliation: Sports Cardiology Center, "Check-Up Day-Surgery" Centro Polispecialistico, Salerno, Italy.

ABSTRACT
Ventricular arrhythmias are a leading cause of non-elegibility to competitive sport. The failure to detect a significant organic substrate in the initial stage of screening does not preclude the identification of structural pathologies in the follow-up by using advanced imaging techniques. Here we report the case of a senior athlete judged not elegible because an arrhythmia with the morphology consistent with the origin of the left ventricle, in which subsequent execution of a cardiac MR and a thoracic CT scan has allowed the identification of an unique association between an area of myocardial damage, probable site of origine of the arrhythma, and a rare aortic malformation.

No MeSH data available.


Related in: MedlinePlus