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cardiac workups in young athletes

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https://www.readbyqxmd.com/read/26224114/subepicardial-delayed-gadolinium-enhancement-in-asymptomatic-athletes-let-sleeping-dogs-lie
#1
Frédéric Schnell, Guido Claessen, André La Gerche, Jan Bogaert, Pierre-Axel Lentz, Piet Claus, Philippe Mabo, François Carré, Hein Heidbuchel
BACKGROUND: Subepicardial delayed gadolinium enhancement (DGE) patches without underlying cardiomyopathy is poorly understood. It is often reported as the result of prior silent myocarditis. Its prognostic relevance in asymptomatic athletes is unknown; therefore, medical clearance for competitive sports participation is debated. This case series aims to relate this pattern of DGE in athletes to outcome. METHODS: We report on seven young asymptomatic athletes with isolated subepicardial DGE detected during workup of abnormalities on their regular screening examination, that is, pathological T-wave inversions on ECG (n=4) or ventricular arrhythmias on exercise test (n=3)...
January 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/23106965/hypertension-in-a-young-boy-an-energy-drink-effect
#2
Asma Usman, Ambreen Jawaid
BACKGROUND: Use of energy drinks has significantly increased in recent times. Besides athletes, teenagers and students are among the most common consumers. However, popularity is also increasing among the younger and older age groups. Most of the users believe that they are a good source of instant energy and are unaware of its high Caffeine content resulting in harmful effects on health. CASE PRESENTATION: We report the case of a young boy who presented with palpitations and high blood pressure as a result of energy drinks usage...
2012: BMC Research Notes
https://www.readbyqxmd.com/read/19248569/arrhythmogenic-right-ventricular-dysplasia-a-case-report-and-review-of-the-literature
#3
REVIEW
Nabil A Shafi, Moise W Anglade
A 19-year-old male presented to our hospital after an episode of syncope while playing soccer. He reported a family history of sudden death. Laboratory workup on admission was unremarkable. Electrocardiogram and 2-Dimensional Echocardiogram suggested heart disease involving the right ventricle. The patient had Cardiac Magnetic Resonance Imaging that revealed a dilated right ventricle with global hypokinesis and high signal intensity due to fatty infiltration. The diagnosis of Arrhythmogenic Right Ventricular Dysplasia was made based on right precordial electrocardiographic features, family history and structural abnormalities seen on imaging...
January 2009: Connecticut Medicine
https://www.readbyqxmd.com/read/17353457/coronary-artery-anomalies-an-entity-in-search-of-an-identity
#4
REVIEW
Paolo Angelini
Coronary artery anomalies (CAAs) are a diverse group of congenital disorders whose manifestations and pathophysiological mechanisms are highly variable. The subject of CAAs is undergoing profound evolutionary changes related to the definition, morphogenesis, clinical presentation, diagnostic workup, prognosis, and treatment of these anomalies. To understand the clinical impact of CAAs, the fundamental challenge is the firm establishment, for a particular type of CAA, of a mechanism capable of interference with the coronary artery's function, which is to provide adequate blood flow to the dependent myocardium...
March 13, 2007: Circulation
https://www.readbyqxmd.com/read/14767237/exercise-related-sudden-death-due-to-an-unusual-coronary-artery-anomaly
#5
Emad G Iskandar, Paul D Thompson
Coronary artery anomalies are, after hypertrophic cardiomyopathy, the second most common cause of exercise-related sudden cardiac death in young American athletes. These anomalies have been associated with myocardial ischemia, arrhythmia, and sudden death during exercise. A 14-yr-old male with no previous abnormal medical history collapsed during soccer practice and was successfully resuscitated without defibrillation. An extensive cardiac workup did not reveal any abnormalities. Two weeks later, he experienced a cardiac arrest while running and could not be resuscitated...
February 2004: Medicine and Science in Sports and Exercise
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