Document Detail


Electrocardiographic abnormalities in young athletes with mitral valve prolapse.
MedLine Citation:
PMID:  19455568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Mitral valve prolapse (MVP) is the most common primary valvular abnormality in a young population. In some individuals, MVP is silent or associated with palpitations, dizziness, chest pain, and abnormal electrocardiogram (ECG) repolarization with or without ventricular arrhythmias. HYPOTHESIS: The aim of the present study was to assess the occurrence of the clinical and electrocardiographic abnormalities in young athletes with silent MVP. METHODS: A group of 10 children, who have been sport training intensively, with preparticipation silent MVP were examined for symptoms and/or ECG abnormalities. The diagnosis of MVP was made by echocardiography. RESULTS: Three athletes were asymptomatic at initial presentation. The other 7 athletes presented with symptoms. The QTc intervals > 440 msec were recorded in 2 athletes (1 with syncope). Abnormal ECG repolarization was found in 7 athletes (4 athletes were symptomatic and 3 were asymptomatic). A large variety of T-waves was registered in athletes who presented with symptoms. In asymptomatic athletes, the tall and flat T-waves were recorded. CONCLUSIONS: Young athletes with MVP are often predisposed to electrocardiographic abnormalities of ventricular repolarization, which requires annual cardiologic evaluation.
Authors:
Grazyna Markiewicz-Łoskot; Maria Łoskot; Ewa Moric-Janiszewska; Maria Dukalska; Bogusław Mazurek; Joanna Kohut; Lesław Szydłowski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  32     ISSN:  1932-8737     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-24     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E36-9     Citation Subset:  IM    
Affiliation:
Department of Nursing and Social Medical Problems, Medical University of Silesia, Katowice, Poland.
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MeSH Terms
Descriptor/Qualifier:
Action Potentials
Adolescent
Age Factors
Arrhythmias, Cardiac / etiology*,  physiopathology
Chest Pain / etiology,  physiopathology
Child
Death, Sudden, Cardiac / etiology*
Echocardiography, Doppler
Electrocardiography*
Fatigue / etiology,  physiopathology
Female
Headache / etiology,  physiopathology
Heart Ventricles / physiopathology
Humans
Kinetics
Male
Mitral Valve Prolapse / complications,  diagnosis*,  physiopathology
Predictive Value of Tests
Sports*
Syncope / etiology,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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