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.


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