Common Complaint, Uncommon Diagnosis: Palpitations In A Female Collegiate Basketball Player - Page #3
 

Lab Studies:
Basic Metabolic Panel: Normal
Magnesium: Normal
Phosphorous: Normal
Complete Blood Count: Normal
Thyroid Stimulating Hormone: Normal
Free T4: Normal
Urinalysis: Normal
Urine Human Chorionic Gonadotropin: Negative
Urine Drug Screen: Negative

Other Studies:
Electrocardiogram: Rate 119, PR 204, QRS 82, QTc 383, Axis normal. Findings consistent with Multifocal Atrial Tachycardia. Case Photo #1
Holter Monitor: Premature Ventricular Contractions.
Electrophysiology Study: Atrial Tachycardia with arrhythmogenic foci.
2-Dimensional Transthoracic Echocardiogram: Short axis view of left ventricle. Abnormal trabeculae present in left ventricular myocardium with increased ratio of noncompacted to compacted myocardium. Case Photo #2
Cardiac Magnetic Resonance Image (obtained due to abnormal echo): Increased ratio of noncompacted to compacted myocardium in the left ventricle.

Consultations:
Cardiology

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek