Patient
This 18-year-old male, elite rower was referred for cardiologic evaluation to our Institution for the presence of abnormal repolarization pattern on the 12-lead ECG, performed elsewhere in the setting of national preparticipation screening program. The athlete was engaged in daily training sessions of approximately 6 hours(h), mostly on the water but also in the gym. He had competed in several international events, including Olympic Games, and was gold and silver medallist in the World Rowing Championship. The personal history was negative for symptoms or cardiac disease. The father had systemic hypertension with mild renal dysfunction. No other known cardiovascular diseases or premature (<50 years) sudden cardiac death among relatives were reported.
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References
Pelliccia A, Fagard R, Bjørnstad HH, Anastassakis A, Arbustini E, Assanelli D, Biffi A, Borjesson M, Carrè F, Corrado D, Delise P, Dorwarth U, Hirth A, Heidbuchel H, Hoffmann E, Mellwig KP, Panhuyzen-Goedkoop N, Pisani A, Solberg E, van-Buuren F, Vanhees L. Recommendations for competitive sports participation in athletes with cardiovascular disease. A consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology, and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2005, 26:1422–1445
Maron BJ, Zipes DP. 36th Bethesda Conference: Eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 2005, 45:2–64
Maron BJ, Pelliccia A. The heart of trained athletes: cardiac remodelling and the risks of sports, including sudden death. Circulation 2006, 114:1633–1644
Pelliccia A, Maron BJ, De Luca R, et al. Remodelling of left ventricular hypertrophy in elite athletes after long-term deconditioning. Circulation 2002, 105:944–949
Klues HG, Schiffers A, Maron BJ. Phenotypic spectrum and patterns of left ventricular hypertrophy in hypertrophic cardiomyopathy: morphologic observations and significance as assessed by two-dimensional echocardiography in 600 patients. J Am Coll Cardiol 1995, 26:1699–1708
Maron BJ. Hypertrophic cardiomyopathy: a systematic review. JAMA 2002, 287:1308–1320
Pelliccia A, Maron BJ, Culasso F, Di Paolo FM, Caselli G, Biffi A, Piovano P. Clinical significance of abnormal electrocardiographic patterns in trained athletes. Circulation 2000, 102:278–284
Pelliccia A, Di Paolo FM, Quattrini FM, et al. Outcomes in athletes with marked ECG repolarization abnormalities. N Engl J Med 2008, 358:152–161
Alegria JR, Herrmann J, Holmes DR Jr, et al. Myocardial bridging. Eur Heart J 2005, 26:1159–1168
Yetman AT, McCrindle BW, MacDonald C, et al. Myocardial bridging in children with hypertrophic cardiomyopathy – a risk factor for sudden death. N Engl J Med 1998, 339:1201–1209
Feld H, Guadanino V, Hollander G, et al. Exercise-induced ventricular tachycardia in association with a myocardial bridge. Chest 1991, 99:1295–1296
Maron BJ. Sudden death in young athletes. N Engl J Med 2003, 349:1064–1075
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Quattrini, F.M., Di Paolo, F.M., Pisicchio, C., Ciardo, R., Pelliccia, A. (2009). A Young Rower with an Unusual Left Ventricular Hypertrophy. In: Pelliccia, A. (eds) Sports Cardiology Casebook. Springer, London. https://doi.org/10.1007/978-1-84882-042-5_25
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