Return To Play Cardiac Testing Following Covid-19 Infection Leads To An Unexpected Diagnosis

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Return To Play Cardiac Testing Following Covid-19 Infection Leads To An Unexpected Diagnosis - Page #1

Author: J.P. Rizik, DO Co Author #1: Jake Reisner, DO Co Author #2: Casey Yarling, DO Senior Editor: Adam Lewno, DO Editor: Alex Wang, MD Patient Presentation: An asymptomatic patient presenting for return to play following COVID-19 infection. History: A 19-year-old previously healthy men's basketball athlete presented for follow up of COVID-19 infection. He had symptoms including fatigue, cough, myalgias, nausea, and vomiting. All symptoms resolved prior to training room evaluation. Based on protocol, patient underwent cardiac testing including electrocardiogram, troponin, and echocardiogram. Echocardiogram revealed moderate aortic root dilation with extension to the ascending aorta. Family history was notable for maternal dilated aorta and a cousin with possible Loeys Dietz syndrome. Athlete returned after testing was reviewed with a desire to return to collegiate basketball. Physical Exam: Cardiac: Normal rate, rhythm, no murmurs, rubs, or gallops. Respiratory: Normal effort. Normal breath sounds throughout. Extremities: No arachnodactyly or hyperlaxity. Bilateral upper extremity length appropriate for height. MSK: Lack of pectus excavatum Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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