Quaranta F, Guerra E, Sperandii F, Santis FD, Pigozzi F, Calò L, Borrione P. Myocarditis in athlete and myocardial bridge: An innocent bystander? World J Cardiol 2015; 7(5): 293-298 [PMID: 26015860 DOI: 10.4330/wjc.v7.i5.293]
Corresponding Author of This Article
Paolo Borrione, MD, Department of Movement, Human and Health Science, University of Rome “Foro Italico”, Piazza de Bosis, 00194 Rome, Italy. paolo.borrione@uniroma4.it
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. May 26, 2015; 7(5): 293-298 Published online May 26, 2015. doi: 10.4330/wjc.v7.i5.293
Myocarditis in athlete and myocardial bridge: An innocent bystander?
Federico Quaranta, Emanuele Guerra, Fabio Sperandii, Francesco De Santis, Fabio Pigozzi, Leonardo Calò, Paolo Borrione
Federico Quaranta, Emanuele Guerra, Fabio Sperandii, Francesco De Santis, Fabio Pigozzi, Paolo Borrione, Department of Movement, Human and Health Science, University of Rome “Foro Italico”, 00194 Rome, Italy
Leonardo Calò, Department of Cardiology, Policlinico Casilino, ASL Rome B, 00169 Rome, Italy
Author contributions: Quaranta F, Guerra E, Sperandii F and De Santis F contributed in the clinical follow up of the patient and in the review of the literature; Quaranta F, Guerra E and Borrione P contributed in the conception and writing of the article; Pigozzi F, Calò L and Borrione P contributed in writing the article as well as in the final approval of the manuscript.
Informed consent: The patients provided informed written consent prior to study enrollment.
Conflict-of-interest: The authors declare that in this work there are no financial or other relationships that might lead to a conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Paolo Borrione, MD, Department of Movement, Human and Health Science, University of Rome “Foro Italico”, Piazza de Bosis, 00194 Rome, Italy. paolo.borrione@uniroma4.it
Telephone: +39-6-36733338
Received: December 3, 2014 Peer-review started: December 4, 2014 First decision: December 26, 2014 Revised: January 16, 2015 Accepted: March 4, 2015 Article in press: March 5, 2015 Published online: May 26, 2015 Processing time: 168 Days and 18.9 Hours
Abstract
Myocarditis is a bacterial or viral inflammatory disease, often unnoticed or misdiagnosed. Athletes with myocarditis must stop practicing their activity since International medical Literature described some cases of sudden death. In the present report, we describe a case of an asymptomatic, apparently healthy, competitive athletes, who was diagnosed a myocarditis and as incidental finding a myocardial bridging. We focused the attention on the importance of anamnesis, electrocardiogram and athletes’ entourage for the diagnosis of such insidious pathologies and we evaluated the follow up, focusing the attention on electrocardiogram changes as well as on restitution ad integrum and prognosis, especially for the athletes.
Core tip: Pre participation screening allows sports physicians to diagnose potential causes of sudden death in athletes. We describe a case of an athlete with a previous myocarditis, and an incidental myocardial bridging, suspended from competition and followed in the later time. We also pointed out the question of the possible scarring of myocarditis in relation to the restart of physical activity and training.
