ID | 64271 |
FullText URL | |
Author |
Hirai, Kenta
Department of Pediatrics, Okayama University School of Medicine, Dentistry, and Pharmaceutical Sciences
Ousaka, Daiki
Department of Pharmacology, Okayama University School of Medicine, Dentistry, and Pharmaceutical Sciences
Kuroko, Yosuke
Department of Cardiovascular Surgery, Okayama University School of Medicine, Dentistry, and Pharmaceutical Sciences
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Abstract | Sudden cardiac events in young athletes are a major concern in the field of sports cardiology. Although coronary artery anomalies remain a major cause of cardiac events in young athletes, only a few cases have been diagnosed prior to critical events. Here, we present the case of a previously asymptomatic young male runner who experienced sudden cardiac arrest at the end of a marathon. The patient immediately received cardiopulmonary resuscitation from a bystander and was transported to an emergency hospital. As his electrocardiogram showed ventricular fibrillation, he was treated with electric shock, and his rhythm was successfully converted to a normal sinus rhythm. Following successful resuscitation, the patient was diagnosed with an anomalous origin of the right coronary artery from the left sinus of Valsalva with an intramural course. The patient underwent coronary artery bypass using the right internal thoracic artery. Fifteen years later, the coronary bypass was found to be blocked, but the patient was asymptomatic. However, an exercise electrocardiogram revealed ST-segment elevation in the inferior leads. The patient then underwent an unroofing procedure. He has remained asymptomatic without complications for two years after the second surgery.
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Keywords | sudden cardiac death
treadmill exercise test
diagnostic ct imaging
electrocardiography (ecg)
coronary vessel anomalies
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Published Date | 2022-12-11
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Publication Title |
Cureus Journal Of Medical Science
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Volume | volume14
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Issue | issue12
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Publisher | Cureus Inc.
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Start Page | e32418
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ISSN | 2168-8184
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Content Type |
Journal Article
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language |
English
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OAI-PMH Set |
岡山大学
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Copyright Holders | © 2022 Hirai et al.
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File Version | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
Related Url | isVersionOf https://doi.org/10.7759/cureus.32418
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License | https://creativecommons.org/licenses/by/4.0/
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