Predictive value of exercise testing in athletes with ventricular ectopy evaluated by cardiac magnetic resonance

Heart Rhythm : the Official Journal of the Heart Rhythm Society
Alberto CiprianiBarbara Bauce

Abstract

Exercise-induced ventricular arrhythmias (EIVA) in young athletes raise the suspicion of an underlying heart disease at risk of sudden death. We aimed to assess the prevalence and determinants of abnormal cardiac magnetic resonance (CMR) findings in athletes referred for EIVA vs non-EIVA with negative or inconclusive echocardiography. We performed CMR in a consecutive series of athletes aged 15-50 years referred for frequent (>500 per day) or repetitive premature ventricular beats. Clinical and CMR findings were compared between athletes with EIVA and those with non-EIVA, and predictors of abnormal CMR were assessed. We included 36 athletes with EIVA (median age 25 years; 27 (75%) males) and 24 with non-EIVA (median age 17 years; 18 (75%) males). CMR revealed cardiac abnormalities in 20 athletes with EIVA (56%) and in 5 with non-EIVA (21%) (P = .004). In particular, left ventricular late gadolinium enhancement was identified in 17 athletes with EIVA (47%) and in 3 with non-EIVA (13%) (P = .006), mostly with a nonischemic pattern. Predictors of abnormal CMR were T-wave inversion on electrocardiography (ECG) (odds ratio [OR] 5.2; 95% confidence interval [CI] 1.0-27.1; P = .05), complex ventricular arrhythmias on 24-hour ambulator...Continue Reading

Citations

May 23, 2019·Arrhythmia & Electrophysiology Review·Jeffrey J HsuJason S Bradfield
Mar 20, 2020·Clinical Cardiology·Łukasz A Małek, Chiara Bucciarelli-Ducci
Mar 22, 2020·Journal of Cardiovascular Translational Research·Flavio D'AscenziMichele Brignole
Jun 3, 2020·European Journal of Preventive Cardiology·Antonio PellicciaDomenico Corrado
Jul 3, 2020·European Journal of Preventive Cardiology·Alexandros Kasiakogias, Michael Papadakis
Aug 30, 2020·European Heart Journal·Antonio PellicciaUNKNOWN ESC Scientific Document Group
Sep 5, 2019·British Journal of Sports Medicine·Domenico CorradoAlessandro Zorzi
Dec 4, 2019·European Journal of Preventive Cardiology·Alessandro ZorziPatrizio Sarto
Apr 18, 2020·Journal of Cardiovascular Translational Research·Alessandro ZorziDomenico Corrado
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Jul 1, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hein HeidbuchelDomenico Corrado
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Feb 22, 2021·European Journal of Preventive Cardiology·Alexandros Kasiakogias, Michael Papadakis
Feb 22, 2021·European Journal of Preventive Cardiology·Antonio PellicciaDomenico Corrado
May 8, 2021·Current Cardiology Reports·Alessandro ZorziBarbara Bauce

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