<abstract xmlns="http://www.w3.org/1999/xhtml"><p>A 35-year-old female athlete appealed to her sports physician on new onset of frequent palpitations, just before an important competition. Initial electrocardiography revealed unifocal premature ventricular complexes in the form of bigeminy. Echocardiography revealed fine-granulated hyperdensic changes in septum. Global strain rate was within a range normal, as well as pulsed tissue Doppler ultrasound. Patient was referred for cardiac MRI, which revealed interventricular septum with rougher compounds, but with preserved continuity, with thickness of 10 mm, which is in the middle of the LV, in length of 5 mm, thinned to a thickness of 4 mm. ELISA laboratory test demonstrated an increased titer of IgM antibodies for adenovirus. Six months later, the patient was referred for control MRI of the heart, which showed pronounced trabeculation of infero-lateral wall of the left ventricle, but without certain criteria for non-compaction cardiomyopathy. There was T1 oedema component in apical septal segment and apical segment of the left ventricle. There was increase of the signal in late gadolinium enhancement in the medial parts of the same segments but also in the segment of the basomedial septum, with previous focal myocarditis. These findings suggest myocardial fibrosis in the segments that were stricken by myocarditis, now without active ongoing myocarditis, but without consequent myocardial fibrosis.</p></abstract>

A 35-year-old female athlete appealed to her sports physician on new onset of frequent palpitations, just before an important competition. Initial electrocardiography revealed unifocal premature ventricular complexes in the form of bigeminy. Echocardiography revealed fine-granulated hyperdensic changes in septum. Global strain rate was within a range normal, as well as pulsed tissue Doppler ultrasound. Patient was referred for cardiac MRI, which revealed interventricular septum with rougher compounds, but with preserved continuity, with thickness of 10 mm, which is in the middle of the LV, in length of 5 mm, thinned to a thickness of 4 mm. ELISA laboratory test demonstrated an increased titer of IgM antibodies for adenovirus. Six months later, the patient was referred for control MRI of the heart, which showed pronounced trabeculation of infero-lateral wall of the left ventricle, but without certain criteria for non-compaction cardiomyopathy. There was T1 oedema component in apical septal segment and apical segment of the left ventricle. There was increase of the signal in late gadolinium enhancement in the medial parts of the same segments but also in the segment of the basomedial septum, with previous focal myocarditis. These findings suggest myocardial fibrosis in the segments that were stricken by myocarditis, now without active ongoing myocarditis, but without consequent myocardial fibrosis.

Focal Myocarditis in Professonal Female Athlete: A Case Report

Department of Exercise Physiology, Institute of Hygiene, Military Medical Academy

University Hospital Medical Center “Bezanijska Kosa”, Faculty of Medicine

Clinic for Cardiology, Clinical Center Kragujevac

Faculty of Medical Sciences, Department of Physiology

Medical College of applied sciences in Zemun

Institute of Radiology, Clinical Center Serbia, Faculty of Medicine

Experimental and Applied Biomedical Research (EABR)

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Focal Myocarditis in Professonal Female Athlete: A Case Report"}

A 35-year-old female athlete appealed to her sports physician on new onset of frequent palpitations, just before an important competition. Initial...

Focal Myocarditis in Professonal Female Athlete: A Case Report

Published Online: Oct 29, 2018

Page range: 281 - 285

Received: Oct 30, 2017

Accepted: Nov 13, 2017

DOI: https://doi.org/10.1515/sjecr-2017-0062

Keywords
focal myocarditis, sudden cardiac death, athlete, cardiac MRI

© 2018 Nikola Cikiriz et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Focal Myocarditis in Professonal Female Athlete: A Case Report

Published Online: Oct 29, 2018

Page range: 281 - 285

Received: Oct 30, 2017

Accepted: Nov 13, 2017

DOI: https://doi.org/10.1515/sjecr-2017-0062

Keywordsfocal myocarditis, sudden cardiac death, athlete, cardiac MRI

© 2018 Nikola Cikiriz et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
focal myocarditis, sudden cardiac death, athlete, cardiac MRI