Sports cardiology casebook

Hein Heidbüchel, Axel J.P. Urhausen (auth.), Antonio Pelliccia (eds.)9786612333330, 6612333332, 9781848820418, 1848820410

Sudden death in athletes engaged in competitive sports is a highly visible, emotionally charged and important public health issue. Substantial progress has occurred in this new area of cardiovascular medicine driven by the recent focus on the most effective and appropriate strategies for screening for the detection of otherwise unsuspected cardiovascular diseases. Detailed guidelines and consensus recommendations represent the criteria with which clinical decisions regarding management and eligibility/disqualification decisions must be decided. However, applying these guidelines is fraught with difficulty.

Sports Cardiology Casebook is an important contribution to the understanding of this important and growing area of medicine, compiling a number of practical experiences from international experts illustrating some of the dilemmas implicit in reaching difficult clinical decisions regarding appropriate management of athletes with underlying cardiovascular disease. This book represents a particularly useful addition to the literature for cardiologists, cardiac electrophysiologists and sports medicine physicians enabling them to understand the issues involved and assisting them in making clinical decisions based on the guidelines.

Table of contents :
Front Matter….Pages i-xviii
A 27-Year-Old Professional Cyclist with Palpitations on Effort….Pages 1-8
Impaired Performance in a Master Long-Distance Runner….Pages 9-14
A 26-Year-Old Cyclist with Syncope on Effort….Pages 15-21
A 32-Year-Old Female Soccer Player with Unexplained Syncope….Pages 23-33
A 23-Year-Old Top-Level Soccer Player Suffering Syncope on Effort….Pages 35-40
A 21-Year-Old Female Beach Volleyball Player with Palpitations and Pre-syncope on Effort….Pages 41-46
A 49-Year-Old Male Marathon Runner with Exercise Induced Prolonged Palpitations….Pages 47-55
A Female Cyclist with Prolonged Palpitations on Effort….Pages 57-62
The Girl with Systolic Murmur on the Left Sternal Border….Pages 63-67
Elite Tennis Player with a Complete Atrio-Ventricular Block….Pages 69-75
A Young Canoeist with an Abnormal Electrocardiogram….Pages 77-84
ECG Repolarization Abnormalities in an African Descent Athlete: Pathologic or Physiologic Finding?….Pages 85-91
A 16-Year-Old Female Runner with Prolonged QT Interval….Pages 93-99
Athlete with Variable QTc Interval and Abnormal T Wave Pattern….Pages 101-109
Young Triathlete with Unusual ST-Segment Elevation in Precordial Leads….Pages 111-117
A 17-Year-Old Competitive Soccer Player with Pre-excitation Pattern on 12-Lead ECG….Pages 119-122
A Symptomatic Judoka with Wolff-Parkinson-White Pattern….Pages 123-127
A 35-Year-Old Competitive Cyclist with Frequent Premature Ventricular Beats….Pages 129-136
An Athlete with Ischemic Pattern on Exercise ECG….Pages 137-142
A 17-Year-Old National Cyclist with Exercise-Induced Ventricular Tachycardia….Pages 143-149
A 53-Year-Old Recreational Jogger with Atrial Fibrillation….Pages 151-155
Paroxysmal Atrial Fibrillation in a Professional Cyclist….Pages 157-162
A Female Soccer Player with Unusual Fatigability and Ventricular Arrhythmia….Pages 163-167
A 38-Year-Old Marathon Runner with Tricuspid Valve Regurgitation….Pages 169-173
A Young Rower with an Unusual Left Ventricular Hypertrophy….Pages 175-182
An Elite Athlete with Controversial Left Ventricular Hypertrophy….Pages 183-190
A Non-compaction Cardiomyopathy or Innocent LV Trabeculation?….Pages 191-198
A 31-Year-Old Male, Recreational Soccer Player with “Low Risk” Hypertrophic Cardiomyopathy….Pages 199-203
Competitive Cyclist Suffering from Myocardial Infarction, Willing to Resume Competitive Sport….Pages 205-210
A 32 Year-Old Male Soccer Player with Chest Trauma….Pages 211-214
Asymptomatic Cyclist with Stenosis of Left Main Coronary Artery….Pages 215-219
Back Matter….Pages 221-242