Preparticipation Screening Detects Cardiac Disease In An Asymptomatic Preadolescent Athlete

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Preparticipation Screening Detects Cardiac Disease In An Asymptomatic Preadolescent Athlete - Page #3

Lab Studies: CBC, CMP, Thyroid Function panel, and urinalysis were WNL. GeneDx Hypertrophic Cardiomyopathy (HCM) Panel: No disease-causing gene mutation was detected Other Studies: Case Photo #2 EKG: sinus rhythm, prominent precordial voltage, �dome-shaped� convex ST segment elevations in the anterior precordial leads (V1-V2), and diffuse T wave inversions (most notably in the inferolateral leads). Case Photo #3 2D Echo: Concentric LVH (maximal wall thickness of 1.6 cm) with speckled appearance of myocardium. Hyperdynamic global systolic function (EF > 75%). No LV outflow obstruction or systolic anterior motion of the mitral valve. Case Photo #4 Cardiac MRI: Abnormal LV myocardial mass at 125 g/m� (47-87 g/m�). Concentric LV thickening with slightly more prominent apical involvement (1.6 cm in anterior basilar septum and basilar inferolateral wall). No abnormal uptake of gadolinium. Case Photo #5 Stress ECHO: Standard Bruce protocol: Achieved predicted maximal HR without CP or SOB. Hypertensive response to exercise (baseline BP 152/73, HR 71; peak BP 220/ 60, HR 84), widespread repolarization abnormalities, and dynamic LV outflow tract obstruction Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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