title: Idiopathic intrafascicular reentrant left ventricular tachycardia in an elite cyclist athlete.
abstract: A 32 year-old Caucasian male, an elite athlete, was admitted to the emergency department because of a sudden onset of palpitations which had lasted more than 12 hours and were associated with chest discomfort. He had a two-year history of recurrent stress-induced palpitations. He denied either episodes of syncope or any family history of sudden death. Physical examination was normal. He had no evidence of structural heart disease. The electrocardiography (ECG) documented during the event supported the diagnosis of idiopathic reentrant left ventricular tachycardia. Ventricular tachycardia ablation was successful. This case demonstrates that a careful physical examination and correct ECG diagnosis can lead to an appropriate arrhythmia management.
authors: International VCG Investigators; Electro-Vectorcardigraphic Section, ABC Faculty of Medicine (FMABC), Foundation of ABC (FUABC), Santo André, São Paulo, Brazil. riera@uol.com.br
authors: Andrés Ricardo Pérez
authors: AR
authors: Riera
authors: Ricardo Gitti
authors: RG
authors: Ragognete
authors: Celso Ferreira
authors: CF
authors: Filho
authors: Marcelo
authors: M
authors: Ferreira
authors: Edgardo
authors: E
authors: Schapachnik
authors: Sergio
authors: S
authors: Dubner
authors: Celso
authors: C
authors: Ferreira
authors: Agnieszka
authors: A
authors: Mochon
authors: Li
authors: L
authors: Zhang
mesh_terms: D000328:Adult; D001642:Bicycling; D002304:Cardiac Pacing, Artificial; D017115:Catheter Ablation; D004562:Electrocardiography; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008297:Male; D010808:Physical Examination; D005082:Physical Exertion; D011237:Predictive Value of Tests; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome