Marcus Mason, Wu Richard, Link Mark S, Levine Benjamin D
University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.
JACC Case Rep. 2022 Sep 7;4(17):1134-1139. doi: 10.1016/j.jaccas.2022.07.027.
A 20-year-old female competitive collegiate swimmer presented after 2 postexercise syncopal episodes and 1 episode while actively swimming. Ambulatory monitoring and exercise testing revealed nonsustained ventricular tachycardia. Electroanatomic mapping demonstrated multifocal premature ventricular contractions and ventricular flutter originating from the right ventricular outflow tract, consistent with borderline arrhythmogenic right ventricular cardiomyopathy. (.).
一名20岁的大学女子竞技游泳运动员在两次运动后晕厥发作以及一次游泳时发作后前来就诊。动态监测和运动测试显示非持续性室性心动过速。电解剖标测显示多灶性室性早搏和起源于右心室流出道的室性扑动,符合边缘性致心律失常性右心室心肌病。(.)