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- W3040958783 abstract "HISTORY: A 21-year old senior male track and field athlete who competes in mid-distance running events in a Division I university was evaluated for a family history of hypertrophic cardiomyopathy. During his pre-participation physical exam, he denied history of dizziness, syncope, or chest pain. There was no family history of an abnormally thickened heart or early sudden cardiac death. However, his father was recently diagnosed with hypertrophic cardiomyopathy by his primary care provider. There is no other known history of hypertrophic cardiomyopathy in the family. PHYSICAL EXAMINATION: There were no abnormalities during his cardiac exam. There were no murmurs on standard exam or with provocative maneuvers. DIFFERENTIAL DIAGNOSIS: 1. Family history of hypertrophic cardiomyopathy 2. Physiologic hypertrophy response to exercise TEST AND RESULTS: 1. Standard electrocardiogram: Sinus bradycardia with a heart rate of 55, PR interval 152, QRS duration 94, QT/QTc interval 442/422, evidence of left ventricular hypertrophy, and non-specific ST-T wave changes in leads V2 and V3. 2. Stress electrocardiogram: Asymptomatic during exercise. Interpretation: decreased sensitivity of the test due to baseline left ventricular hypertrophy, non-diagnostic study. 3. Resting echocardiogram: No valvular abnormalities, normal size of right and left atria, normal size of right and left ventricles. Concentric left ventricular hypertrophy present and marked right ventricular hypertrophy present. Impression: Consider hypertrophic cardiomyopathy. 4. Stress echocardiogram: normal hyperdynamic response to exercise. Return to baseline following rest. 5. Cardiac MRI: Left ventricle size normal, maximal left ventricular wall size 11mm, normal left ventricle indexed mass, mildly dilated right ventricle. FINAL DIAGNOSIS: Normal physiologic response to exercise. False positive resting echocardiogram. TREATMENT AND OUTCOMES: 1. After discussion with a sports cardiologist, a cardiac MRI was ordered as his resting echocardiogram was concerning for hypertrophic cardiomyopathy. 2. Cardiac MRI showed no evidence of hypertrophic cardiomyopathy 3. No restrictions were placed on activity or participation" @default.
- W3040958783 created "2020-07-16" @default.
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- W3040958783 date "2020-07-01" @default.
- W3040958783 modified "2023-09-27" @default.
- W3040958783 title "Cardiovascular-Track And Field" @default.
- W3040958783 doi "https://doi.org/10.1249/01.mss.0000675716.68523.91" @default.
- W3040958783 hasPublicationYear "2020" @default.
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