Brief report: Healed myocarditis as a cause of ventricular repolarization abnormalities in athlete's heart

P. Zeppilli, C. Santini, S. Cameli, A. Dello Russo, C. Picani, A. Giordano, A. Frustaci

Research output: Contribution to journalArticle

Abstract

In the past myocarditis has been suggested as a possible cause of repolarization abnormalities in sportsmen, but, to our knowledge, no direct in-vivo demonstration of this relationship has so far been found. We report the cases of three professional athletes with repolarization changes at rest and/or during exercise and mild segmental wall motion anomalies in the left ventricle on echocardiography, in whom myocarditis was diagnosed by non-invasive and invasive clinical investigations, including endomyocardial biopsy. We think that probably the frequency with which myocarditis is responsible for electrocardiographic and echocardiographic abnormalities in athletes has so far been underestimated, and that caution must be employed when interpreting minor segmental wall motion abnormalities on resting and exercise echocardiograms in trained subjects as being due to athlete's heart, especially when they present with repolarization changes.

Original languageEnglish
Pages (from-to)213-216
Number of pages4
JournalInternational Journal of Sports Medicine
Volume18
Issue number3
DOIs
Publication statusPublished - 1997

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Myocarditis
Athletes
Exercise
Heart Ventricles
Echocardiography
Biopsy

Keywords

  • Athlete's heart
  • Myocarditis
  • Ventricular repolarization abnormalities

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine
  • Orthopedics and Sports Medicine
  • Public Health, Environmental and Occupational Health
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Brief report : Healed myocarditis as a cause of ventricular repolarization abnormalities in athlete's heart. / Zeppilli, P.; Santini, C.; Cameli, S.; Dello Russo, A.; Picani, C.; Giordano, A.; Frustaci, A.

In: International Journal of Sports Medicine, Vol. 18, No. 3, 1997, p. 213-216.

Research output: Contribution to journalArticle

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