Exercise-Induced Arrhythmia or Munchausen Syndrome in a Marathon Runner?-Reference-Cited by-同舟云学术

Exercise-Induced Arrhythmia or Munchausen Syndrome in a Marathon Runner?

Published:2023-09-12 Issue:18 Volume:13 Page:2917
ISSN:2075-4418
Container-title:Diagnostics
language:en
Short-container-title:Diagnostics

Author:

Gajda Robert¹²^ORCID,Drygas Wojciech³⁴,Gajda Jacek¹,Kiper Pawel⁵^ORCID,Knechtle Beat⁶⁷^ORCID,Kwaśniewska Magdalena⁸^ORCID,Sterliński Maciej⁴,Biernacka Elżbieta Katarzyna⁴

Affiliation:

1. Center for Sports Cardiology at the Gajda-Med Medical Center in Pułtusk, ul. Piotra Skargi 23/29, 06-100 Pułtusk, Poland

2. Department of Kinesiology and Health Prevention, Jan Dlugosz University, 42-200 Czestochowa, Poland

3. Faculty of Medicine, Lazarski University, ul. Swieradowska 43, 02-662 Warsaw, Poland

4. National Institute of Cardiology, ul. Alpejska 42, 04-628 Warszawa, Poland

5. Healthcare Innovation Technology Lab, IRCCS San Camillo Hospital, Via Alberoni 70, 30126 Venice, Italy

6. Institute of Primary Care, University of Zurich, 8091 Zurich, Switzerland

7. Medbase St. Gallen Am Vadianplatz, 9000 St. Gallen, Switzerland

8. Department of Preventive Medicine, Faculty of Health Sciences, Medical University of Lodz, ul. Lucjana Żeligowskiego 7/9, 90-752 Łódź, Poland

Abstract

A 36-year-old professional marathon runner reported sudden irregular palpitations occurring during competitions, with heart rates (HR) up to 230 bpm recorded on a sports HR monitor (HRM) over 4 years. These episodes subsided upon the cessation of exercise. Electrocardiograms, echocardiography, and cardiac magnetic resonance imaging results were borderline for athlete’s heart. Because an electrophysiology study and standard exercise tests provoked no arrhythmia, doctors suspected Munchausen syndrome. Ultimately, an exercise test that simulated the physical effort of a competition provoked tachyarrhythmia consistent with the HRM readings. This case demonstrates the diagnostic difficulties related to exercise-induced arrhythmia and the diagnostic usefulness of sports HRMs.

Publisher

MDPI AG

Subject

Clinical Biochemistry

Link

https://www.mdpi.com/2075-4418/13/18/2917/pdf

Reference40 articles.

1. Graziano, F., Juhasz, V., Brunetti, G., Cipriani, A., Szabo, L., Merkely, B., Corrado, D., D’ascenzi, F., Vago, H., and Zorzi, A. (2022). May Strenuous Endurance Sports Activity Damage the Cardiovascular System of Healthy Athletes? A Narrative Review. J. Cardiovasc. Dev. Dis., 9.

2. Ventricular arrhythmias associated with long-term endurance sports: What is the evidence?;Heidbuchel;Br. J. Sports Med.,2012

3. Exercise-induced right ventricular dysfunction is associated with ventricular arrhythmias in endurance athletes;Claessen;Eur. Heart J.,2015

4. Arrhythmogenesis of Sports: Myth or Reality?;Fyyaz;Arrhythmia Electrophysiol. Rev.,2022

5. Exercise-Induced Arrhythmogenic (Right Ventricular) Cardiomyopathy Is Real…if you Consider it;JACC Cardiovasc. Imaging,2021

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