PDF(Pubmed)
Abstract：
UNASSIGNED: Congenital left ventricular diverticula (LVDs) and aneurysms (LVAs) are rare, developmental, cardiac anomalies, which are often asymptomatic. Sometimes they can cause life-threatening complications like arrhythmias, syncope, embolic events, ventricular wall rupture, valvular regurgitation, congestive heart failure, and various symptoms. Diagnosis is usually made after exclusion of acquired causes, from cardiac or non-cardiac disorders. Specific guidelines for LVD/LVA management are not available and treatment options are guided by different case-by-case clinical presentation and possible complications.
UNASSIGNED: We present a series of two patients with occasional diagnosis of diverticula of the inferior basal left ventricular wall in the context of cardiological evaluations for competitive sport certificate. Symptoms were present at clinical evaluation only in Patient 1, together with electrocardiogram (ECG) abnormality. We performed transthoracic echocardiography as a first-line examination and secondly, we confirmed the diverticula by cardiac magnetic resonance. A maximal stress test and 24 h ECG Holter were also performed.In our case, in light of the clinical-instrumental findings, periodic medical and echocardiographic follow-up without therapy was established, together with the resumption of sports activities.
UNASSIGNED: Nowadays, no specific recommendations exist in athletes and no studies are available on how regular sport practice can influence natural history of LVD/LVA. The current case series highlights the importance of risk stratification for cardiac events, of a multimodal imaging approach in diagnostic procedure and of a tailored treatment strategy.
UNASSIGNED: We present a series of two patients with occasional diagnosis of diverticula of the inferior basal left ventricular wall in the context of cardiological evaluations for competitive sport certificate. Symptoms were present at clinical evaluation only in Patient 1, together with electrocardiogram (ECG) abnormality. We performed transthoracic echocardiography as a first-line examination and secondly, we confirmed the diverticula by cardiac magnetic resonance. A maximal stress test and 24 h ECG Holter were also performed.In our case, in light of the clinical-instrumental findings, periodic medical and echocardiographic follow-up without therapy was established, together with the resumption of sports activities.
UNASSIGNED: Nowadays, no specific recommendations exist in athletes and no studies are available on how regular sport practice can influence natural history of LVD/LVA. The current case series highlights the importance of risk stratification for cardiac events, of a multimodal imaging approach in diagnostic procedure and of a tailored treatment strategy.
摘要：
■先天性左心室憩室（LVDs）和动脉瘤（LVAs）很少见，发展,心脏异常,通常是无症状的。有时它们会导致危及生命的并发症，如心律失常，晕厥,栓塞事件,心室壁破裂,瓣膜反流,充血性心力衰竭,和各种症状。诊断通常在排除获得性原因后进行。心脏或非心脏疾病。LVD/LVA管理的具体指南不可用，治疗方案由不同的病例临床表现和可能的并发症指导。
■我们介绍了一系列两名患者，这些患者在竞争性运动证书的心脏病学评估中偶尔诊断为下基底左心室壁憩室。仅在患者1的临床评估中出现症状，并伴有心电图（ECG）异常。我们进行了经胸超声心动图作为一线检查，其次，我们通过心脏磁共振证实憩室。还进行了最大压力测试和24hECGHolter。在我们的案例中,根据临床仪器的发现，定期医疗和超声心动图随访无治疗建立，以及恢复体育活动。
■如今，运动员没有具体的建议,也没有关于常规运动练习如何影响LVD/LVA自然史的研究.当前病例系列强调了心脏事件风险分层的重要性，诊断程序中的多模态成像方法和量身定制的治疗策略。
■我们介绍了一系列两名患者，这些患者在竞争性运动证书的心脏病学评估中偶尔诊断为下基底左心室壁憩室。仅在患者1的临床评估中出现症状，并伴有心电图（ECG）异常。我们进行了经胸超声心动图作为一线检查，其次，我们通过心脏磁共振证实憩室。还进行了最大压力测试和24hECGHolter。在我们的案例中,根据临床仪器的发现，定期医疗和超声心动图随访无治疗建立，以及恢复体育活动。
■如今，运动员没有具体的建议,也没有关于常规运动练习如何影响LVD/LVA自然史的研究.当前病例系列强调了心脏事件风险分层的重要性，诊断程序中的多模态成像方法和量身定制的治疗策略。
