Document Detail

Brief report: healed myocarditis as a cause of ventricular repolarization abnormalities in athlete's heart.
MedLine Citation:
PMID:  9187977     Owner:  NLM     Status:  MEDLINE    
In the past myocarditis has been suggested as a possible cause of repolarization abnormalities in sportsmen, but, to our knowledge, no direct in-vivo demonstration of this relationship has so far been found. We report the cases of three professional athletes with repolarization changes at rest and/or during exercise and mild segmental wall motion anomalies in the left ventricle on echocardiography, in whom myocarditis was diagnosed by non-invasive and invasive clinical investigations, including endomyocardial biopsy. We think that probably the frequency with which myocarditis is responsible for electrocardiographic and echocardiographic abnormalities in athletes has so far been underestimated, and that caution must be employed when interpreting minor segmental wall motion abnormalities on resting and exercise echocardiograms in trained subjects as being due to athlete's hart, especially when they present with repolarization changes.
P Zeppilli; C Santini; S Cameli; A Dello Russo; C Picani; A Giordano; A Frustaci
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of sports medicine     Volume:  18     ISSN:  0172-4622     ISO Abbreviation:  Int J Sports Med     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-07-24     Completed Date:  1997-07-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8008349     Medline TA:  Int J Sports Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  213-6     Citation Subset:  IM    
Centro Studi di Medicina dello Sport, Istituto di Medicina Interna, Rome, Italy.
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MeSH Terms
Exercise / physiology*
Membrane Potentials
Myocardial Contraction
Myocarditis / pathology,  physiopathology*
Soccer / physiology
Ventricular Function*

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