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.
■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。