Syncope due to Brugada syndrome in a young athlete
Deutscher übersetzter Titel: | Ohnmacht eines jungen Athleten in Folge des Brugada-Syndroms |
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Autor: | Hottenrott, Kuno; Hoos, Olaf; Esperer, Hans Dieter |
Erschienen in: | British journal of sports medicine |
Veröffentlicht: | 41 (2007), 3, S. 180-181, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0306-3674, 1473-0480 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU200909004416 |
Quelle: | BISp |
Abstract
A 30-year-old male athlete with exercise-related syncopal symptoms spontaneously exhibited a type 1 Brugada ECG and was inducible during electrophysiology study. He was diagnosed with symptomatic Brugada syndrome and deemed at high risk of sudden cardiac death. Thus, he received a cardioverter/defibrillator and was advised to abstain from further competitive sports activities. This case points to a role of the ECG in pre-participation screening. It also demonstrates that, in athletes with Brugada syndrome, repolarisation anomalies may be markedly attenuated during vigorous exercise and considerably increased immediately after exercise. The observed J-wave amplitude dynamics suggests enhancement of pre-existing autonomic dysfunction through heavy exertion. Verf.-Referat