Return To Play After Chest Pain

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2024 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2024 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You
Membership
- - Join or Renew Now
- - SMRC & MSIG Officer Nomination
  - NOMINATION FORMS
    
    Click below Click below
    
    MSIG OFFICER NOMINATION SMRC OFFICER NOMINATION
Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports U/S Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Return To Play After Chest Pain - Page #3

Lab Studies: Genetic Testing – pathologic variant in MYBPCS c.1224-52 G>A Other Studies: EKG – new T wave inversions at V3-6. Case Photo #1 Ambulatory cardiac monitor, Zio patch – worn for two weeks with no arrhythmias noted Trans-thoracic echocardiogram – mild concentric left-ventricular hypertrophy with maximal septal wall thickness measuring 14mm in the basal septum, corresponding to an adolescent Z score of 1.5. Mild systolic anterior motion but no significant left ventricular outflow obstruction. Cardiac MRI Case Photo #2 Case Photo #3 – Showed asymmetric hypertrophy of the septum and anterior wall of the left ventricle diagnostic of hypertrophic cardiomyopathy. Basal septum measured 22mm and maximal anterior wall thickness of 27mm in a focal area of the anterior free wall. There was systolic anterior wall motion with flow acceleration through the left-ventricular outflow tract, Ejection fraction noted to be 67% with no late gadolinium enhancement (LGE), and normal coronary arteries. Over-read of TTE after CMR findings – poor technique and incorrect septal wall measurements. Cardiopulmonary Exercise Test (CPET) – no ventricular arrhythmias noted, normal cardiovascular response to exercise, with an overall impression of reduced exercise endurance for age with VO2 max 25.6/kg/min representing 20-30% of predicted VO2 max for age and body habitus (35.3mL/kg/min). Consultations: Pediatric Cardiologist – performed TTE. Even though initial echocardiogram revealed an adolescent Z score of 1.5, a cardiac MRI was recommended given the patient’s history of Kawasaki’s disease. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC


NOMINATION FORMS
Click below		Click below
MSIG OFFICER NOMINATION		SMRC OFFICER NOMINATION