Multimodal Imaging after Sudden Cardiac Arrest in an 18-Year-Old Athlete


We report the case of a previously healthy 18-year-old male athlete who twice presented with sudden cardiac arrest. Our use of electrocardiography, echocardiography, cardiac magnetic resonance, coronary angiography, coronary computed tomographic angiography, and nuclear stress testing enabled the diagnoses of apical hypertrophic cardiomyopathy and anomalous origin of the right coronary artery. We discuss the patient's treatment and note the useful role of multiple cardiovascular imaging methods in cases of sudden cardiac arrest.

Keywords: Arrhythmias, cardiac/etiology/therapy; cardiomyopathy, hypertrophic/complications/diagnosis/pathology; coronary vessel anomalies/diagnosis/surgery; death, sudden, cardiac/etiology/prevention & control; defibrillators, implantable; diagnostic imaging/utilization; gadolinium/diagnostic use; risk factors; sports medicine/standards; treatment outcome

Autor / Fonte:Maxwell E Afari, Mobeen Ur Rehman, Michael K Atalay, Ryan J Broderick Texas Heart Institute Journal 2015, 42 (6): 548-551