Chiappa E, Vineis C
Divisione di Cardiologia, Ospedale Infantile Regina Margherita, Torino.
G Ital Cardiol. 1993 May;23(5):473-7.
The case of a young adolescent who suffered a sudden death while playing soccer is described. At necropsy a long intramyocardial segment of the obtuse marginal branch of the left coronary artery was found, with fresh ischemic damage in the surrounding myocardium. We comment about negativity of the tests the boy had undertaken because of a single syncopal episode he suffered in similar circumstances. Those tests included two 24-hour Holter monitorings, a maximal electrocardiographic stress-test and an electrophysiologic study. In no occasion did he complain of angina pectoris.
描述了一名年轻青少年在踢足球时突然死亡的病例。尸检发现左冠状动脉钝缘支有一段较长的心肌内段,周围心肌有新鲜缺血性损伤。我们对该男孩因在类似情况下发生的一次晕厥发作而进行的检查结果为阴性进行了评论。这些检查包括两次24小时动态心电图监测、一次最大运动心电图应激试验和一次电生理研究。他从未抱怨过心绞痛。