And The Beat Goes On: Return To Play In An Athlete With Cardiac Anomalies

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And The Beat Goes On: Return To Play In An Athlete With Cardiac Anomalies - Page #3

Lab Studies: None Other Studies: 7/11/2022 Electrocardiogram: V4 may be considered as part of an athlete repolarization variant, and T-wave inversions in lead III is a normal variant. However, T-wave inversions are noted in leads I, II, aVF, V5, and V6, concerning for hypertrophic cardiomyopathy Case Photo #1 . 4/20/23 Nuclear Stress Test: Abnormal study with normal myocardial perfusion. Resting left ventricular ejection fraction was normal, stress left ventricular ejection fraction 48%, mildly reduced. 4/26/23 Cardiac MRI: Normal left ventricular size with normal global systolic function (LVEF 55%, LVEDVi: 78 cc/m2). No discrete myocardial fibrosis on delayed-enhancement imaging to suggest an infiltrative process or prior ischemic injury. No mural or apical left ventricular thrombus is identified. Normal right ventricular size and systolic function. (RVEF: 54% RVEDEVi: 90 cc/m2). 5/18/23 Echocardiogram: Left ventricle chamber size normal. No evidence of left ventricle hypertrophy. All left ventricle segments hyperkinetic. Left ventricular ejection fraction greater than 70%. Normal diastolic function. Left atrium size normal. Right ventricle chamber size and systolic function normal. Mild tricuspid regurgitation. 5/23/23 Electrocardiogram: Persistent T-wave inversion in anterior and lateral leads Case Photo #2 . Consultations: Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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