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CASE REPORT   

Medicina dello Sport 2021 June;74(2):327-37

DOI: 10.23736/S0025-7826.21.03943-0

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English, Italian

Usefulness of the sports medical examination in the diagnosis of right ventricle arrhythmogenic dysplasia in a 49-year-old person practicing light body building at noncompetitive level

Giovanni BONI 1 , Giovanni CARRERAS 2, Federico CRUSCO 3, Gianluca SAVARESE 4

1 Italian Sports Medicine Federation, Umbria Regional Committee, Perugia, Italy; 2 Electrophysiology and Electrostimulation Service, Department of Cardiology, S. Maria Hospital, Terni, Italy; 3 Department of Radiology, Santa Maria della Misericordia Hospital, Perugia, Italy; 4 Unit of Cardiology, Emergency Department, S. G. Battista Hospital, Foligno, Perugia, Italy


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The purpose of the work was to emphasize the importance of the sports medical examination in order to highlight unrecognized pathologies that are difficult to find in persons who practice physical activity both at noncompetitive and at a recreational level. The clinical examination was carried out in a condition of physical rest; and even if it includes a basic electrocardiogram, it obviously provides very important information on the patient’s health. However, the performance of the maximal stress test often manages to complete a diagnostic indication or indicates the diagnosis that is not always seen through the medical history or the clinical diagnostic tests such as: basic ECG, echocardiogram and/or cardiac magnetic resonance done by us or done somewhere else and brought us to see. The clinical case that we discuss in this paper concerns precisely this aspect. The patient during the sports medical examination had already undergone various cardiological examinations at rest which failed to reveal the occult and insidious pathology known as arrhythmogenic dysplasia of the right ventricle.


KEY WORDS: Sports medicine; Diagnostic tests, routine; Case reports

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