Left ventricle fibrosis associated with nonsustained ventricular tachycardia in an elite athlete: Is exercise responsible? A case report

Journal of Athletic Training

Volumn 47, Issue 2, 2012, Pages 224-227

  Poussel, Mathias ^a   Djaballah, Karim ^a   Laroppe, Julien ^a   Brembilla Perrot, Béatrice ^a   Marie, Pierre Yves ^a   Chenuel, Bruno ^a  

^a UNIVERSITY HOSPITAL OF NANCY   (France)

Author keywords

High intensity exercise; Myocardial fibrosis; Sudden death

Indexed keywords

ADULT; ARTICLE; ATHLETE; BICYCLE; CASE REPORT; EXERCISE; FIBROSIS; HEART VENTRICLE; HEART VENTRICLE TACHYCARDIA; HUMAN; MALE; PATHOLOGY; SUDDEN DEATH;

ADULT; ATHLETES; BICYCLING; DEATH, SUDDEN, CARDIAC; EXERCISE; FIBROSIS; HEART VENTRICLES; HUMANS; MALE; TACHYCARDIA, VENTRICULAR;

EID: 84859247056     PISSN: 10626050     EISSN: None     Source Type: Journal    
DOI: 10.4085/1062-6050-47.2.224     Document Type: Article

References (22)

1. Maron BJ, Thompson PD, Ackerman MJ, et al. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update. A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2007; 115(12):1643-1655.
2. Corrado D, Pelliccia A, Bjørnstad HH, et al. Cardiovascular pre-partici-pation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myo-cardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J. 2005; 26(5):516-524.
3. Rowe WJ. Endurance exercise and injury to the heart. Sports Med. 1993; 16(2):73-79. (Pubitemid 23235889)
4. La Gerche A, Prior DL. Exercise: is it possible to have too much of a good thing? Heart Lung Circ. 2007; 16(suppl 3):S102-104. (Pubitemid 47233293)
5. La Gerche A, Connelly KA, Mooney DJ, MacIsaac AI, Prior DL. Biochemical and functional abnormalities of left and right ventricular function after ultra-endurance exercise. Heart. 2008; 94(7):860-866. (Pubitemid 351914694)
6. Kawara T, Derksen R, de Groot JR, et al. Activation delay after premature stimulation in chronically diseased human myocardium relates to the architecture of interstitial fibrosis. Circulation. 2001; 104(25):3069-3075. (Pubitemid 34014059)
7. Corrado D, Pelliccia A, Heidbuchel H, et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete: Section of Sports Cardiology, European Association of Cardiovascular Prevention and Rehabilitation. Eur Heart J. 2010; 31(2):243-259.
8. Rawlins J, Bahn A, Sharma S. Left ventricular hypertrophy in athletes. Eur J Echocardiogr. 2009; 10(3):350-356.
9. Zipes DP, Camm AJ, Borggrefe M, et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death). Eur Heart J. 2006; 27(17):2099-2140.
10. Maron BJ, Zipes DP, Ackerman MJ, et al. Bethesda conference report: 36th Bethesda Conference. Eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol. 2005; 45(8):1313-1375.
11. Heidbüchel H, Corrado D, Biff A, et al. Recommendations for participation in leisure-time physical activity and competitive sports of patients with arrhythmias and potentially arrhythmogenic conditions, part II: ventricular arrhythmias, channelopathies and implantable defibrillators. Eur J Cardiovasc Prev Rehabil. 2006; 13(5):676-686. (Pubitemid 44462668)
12. Thompson PD, Buchner D, Pina IL, et al. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation. 2003; 107(24):3109-3116. (Pubitemid 36758987)
13. Hill JA, Olson EN. Cardiac plasticity. N Engl J Med. 2008; 358(13):1370-1380.
14. Yakovlev NN, Kaledin S V, Krasnova AF, et al. Physiological and chemical adaptation to muscular activity in relation to length of rest periods between exertions during training. Fiziol Zh SSSR Im I M Sechenova. 1961; 47(6):56-59.
15. Whyte GP. Clinical significance of cardiac damage and changes in function after exercise. Med Sci Sports Exerc. 2008; 40(8):1416-1423.
16. Lindsay MM, Dunn FG. Biochemical evidence of myocardial fibrosis in veteran endurance athletes. Br J Sports Med. 2007; 41(7):447-452. (Pubitemid 47025805)
17. Whyte GP, Sheppard M, George K, et al. Post-mortem evidence of idio-pathic left ventricular hypertrophy and idiopathic interstitial myocardial fibrosis: is exercise the cause? Br J Sports Med. 2008; 42(4):304-305. (Pubitemid 351547696)
18. Corrado D, Basso C, Thiene G. Arrhythmogenic right ventricular cardio-myopathy: diagnosis, prognosis, and treatment. Heart. 2000; 83(5):588-595. (Pubitemid 30316741)
19. Corrado D, Fontaine G, Marcus FI, et al; for the Study Group on Ar-rhythmogenic Right Ventricular Dysplasia/Cardiomyopathy of the Working Groups on Myocardial and Pericardial Disease and Arrhythmias of the European Society of Cardiology and of the Scientific Council on Cardiomyopathies of the World Heart Federation. Arrhythmogenic right ventricular dysplasia/cardiomyopathy: need for an international registry. Circulation. 2000; 101(11):e101-e106.
20. Rowland TW. Evaluating cardiac symptoms in the athlete: is it safe to play? Clin J Sport Med. 2005; 15(6):417-420. (Pubitemid 41682219)
21. O'Connor FG, Levine BD, Childress MA, Aspludh CA, Oriscello RG. Practical management: a systematic approach to the evaluation of exercise-related syncope in athletes. Clin J Sport Med. 2009; 19(5):429-434.
22. Paterick TE, Paterick TJ, Fletcher GF, Maron BJ. Medical and legal issues in the cardiovascular evaluation of competitive athletes. JAMA. 2005; 294(23):3011-3018. (Pubitemid 41817663)