Document Detail

Sudden cardiac death during exercise due to an isolated multiple anomaly of the left coronary artery in a 12-year-old girl: clinicopathologic findings.
MedLine Citation:
PMID:  9068196     Owner:  NLM     Status:  MEDLINE    
A 12-year-old girl was taken to the Virgen Macarena Universitary Hospital in Seville, Spain, complaining of abdominal pain, nausea, palpitations, and difficulty in breathing. Her school teacher informed that the girl collapsed after a 100-m race at sports in school. Emergency rescue personnel found the patient pale, in a cold sweat, with low peripheral perfusion. Initial ECF revealed supraventricular tachycardia (150 bpm), right bundle branch block and left anterior hemiblock that, eventually, progressed to full cardiac arrest. At autopsy, an isolated multiple congenital anomaly of the left coronary artery was found (initial segment anomaly; course anomaly and tunneled coronary artery anomaly). In our opinion, this appears to be the first reported case of exercise-related sudden cardiac death, due to an isolated multiple congenital anomaly of the left coronary artery (at the origin, on the course and at the termination).
A Garfia; M Rodriguez; H Chavarria; M Garrido
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of forensic sciences     Volume:  42     ISSN:  0022-1198     ISO Abbreviation:  J. Forensic Sci.     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-04-09     Completed Date:  1997-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375370     Medline TA:  J Forensic Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  330-4     Citation Subset:  IM    
Pathology Department, National Institute of Toxicology, Seville, Spain.
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MeSH Terms
Coronary Vessel Anomalies / pathology*,  physiopathology
Death, Sudden, Cardiac / etiology*,  pathology*
Pulmonary Edema / pathology
Shock, Cardiogenic / pathology

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