JACC. Case reports · 2026
Premature Ventricular Contractions as a Result of Subacute Myocarditis in a Professional Football Player.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Pirquet Charlotte, Underberg Daniel, Osler Brian, Schwabe-Warf Derek, Shipon David
Аннотация
BACKGROUND: Return-to-play (RTP) decisions for professional athletes with arrhythmias are challenging, particularly when the diagnosis is uncertain.
CASE SUMMARY: A 33-year-old professional football player presented for RTP evaluation of premature ventricular contractions (PVCs) and atypical chest pain. Work-up was significant for fragmented R waves and PVCs on electrocardiogram as well as late gadolinium enhancement on cardiac magnetic resonance imaging. Positron emission tomography scan was normal. These findings suggested possible subacute myocarditis. He elected to rest for 2 to 3 months and was treated with guideline-directed medical therapy. Risk stratification highlighted increased risks associated with late gadolinium enhancement and incomplete genetic evaluation, though PVC morphology and normal positron emission tomography scan supported a favorable risk profile.
DISCUSSION: This case underscores the complexity of RTP decisions in athletes with arrhythmias of uncertain etiology, emphasizing individualized evaluation.
TAKE-HOME MESSAGE: Real-world RTP decisions often do not align with diagnostic pathways; clinicians must integrate clinical data, athlete goals, and evolving evidence.
CASE SUMMARY: A 33-year-old professional football player presented for RTP evaluation of premature ventricular contractions (PVCs) and atypical chest pain. Work-up was significant for fragmented R waves and PVCs on electrocardiogram as well as late gadolinium enhancement on cardiac magnetic resonance imaging. Positron emission tomography scan was normal. These findings suggested possible subacute myocarditis. He elected to rest for 2 to 3 months and was treated with guideline-directed medical therapy. Risk stratification highlighted increased risks associated with late gadolinium enhancement and incomplete genetic evaluation, though PVC morphology and normal positron emission tomography scan supported a favorable risk profile.
DISCUSSION: This case underscores the complexity of RTP decisions in athletes with arrhythmias of uncertain etiology, emphasizing individualized evaluation.
TAKE-HOME MESSAGE: Real-world RTP decisions often do not align with diagnostic pathways; clinicians must integrate clinical data, athlete goals, and evolving evidence.