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Asymptomatic cardiac tumour with premature ventricular contraction in an athlete: case report

Part of: Advanced Imaging

Published online by Cambridge University Press:  25 August 2021

Deniz Eriş Open the ORCID record for Deniz Eriş [Opens in a new window]  and
Feyza Ayşenur Paç
Deniz Eriş
Affiliation:
Department of Pediatric Cardiology, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey Department of Pediatric Cardiology, Isparta City Hospital, Isparta, Turkey.
Feyza Ayşenur Paç*
Affiliation:
Department of Pediatric Cardiology, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey Department of Pediatric Cardiology, The University of Yuksek Ihtisas, Ankara, Turkey.
*
Author for correspondence: Dr Feyza Ayşenur Pac, MD, Department of Pediatric Cardiology, The University of Yuksek Ihtisas, P.O. Box 06520, Ankara, Turkey. Tel: +90 505 316 22 27. E-mail: [email protected]
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Abstract

Cardiac fibromas are the second most common benign primary tumour of the heart in the children; the clinical features include chest pain, arrhythmia, low cardiac output due to outflow tract obstruction, and sudden cardiac death. Sports are associated with an increased risk for sudden death in athletes who are affected by cardiovascular conditions predisposing to life-threatening arrhythmias. We present a case report of 10-year-old asymptomatic boy who was referred to the paediatric cardiology department by his general practitioner for cardiac examination before participation in competitive sports. The electrocardiogram showed premature ventricular contractions originated from inferior of left ventricle. A mass was detected by 2D transthoracic echocardiography, and it was found to be compatible with fibroma on MRI. In some cases, cardiac tumours are asymptomatic as in our patient. Electrocardiogram abnormalities require detailed cardiac imaging with echocardiogram, and if necessary CT/MRI. In this article, we emphasise that detailed cardiac examination of individuals before participating in competitive sports is vital.

Keywords

Competitive sportsarrhythmiacardiac fibroma
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 4 , April 2022 , pp. 644 - 647
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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