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一名运动员罕见心血管疾病与室性心律失常的独特关联。

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

作者信息

Santomauro V, Contursi M, Dellegrottaglie S, Borsellino G

机构信息

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

Division of Cardiology, Ospedale Medico-Chirurgico "Villa dei Fiori", Acerra, Napoli, Italy and Z. and M.A. Wiener Cardiovascular Institute and H.R. Kravis Center for Cardiovascular Health, Mount Sinai Medical Center, New York, NY, USA.

出版信息

Transl Med UniSa. 2014 Sep 1;12:60-3. eCollection 2015 May-Aug.

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.

摘要

室性心律失常是导致无法参加竞技运动的主要原因之一。在筛查初期未能检测到明显的器质性病变,并不排除在后续通过先进成像技术发现结构病变。在此,我们报告一例老年运动员的病例,该运动员因形态学上与左心室起源一致的心律失常而被判定不符合参赛资格,随后进行的心脏磁共振成像(MR)和胸部CT扫描发现心肌损伤区域(可能是心律失常的起源部位)与一种罕见的主动脉畸形之间存在独特关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7954/4592045/2f4cd53654bc/TM-12-60-i001.jpg

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