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Accelerated Idioventricular Rhythm in a Young Athlete: Physiology or Pathology?
Nick R Bijsterveld1,2, Saskia N van der Crabben3, Maarten Groenink1
1Department of Cardiology, Amsterdam UMC, Heart Centre, Amsterdam, the Netherlands.
Abstract:
An accelerated idioventricular rhythm was seen on a routine preparticipation electrocardiogram of a 19-year-old healthy and symptom-free athlete. Family history was negative for cardiac disease. Additional investigations revealed a hypertrophic cardiomyopathy, confirmed with cardiac magnetic resonance imaging and genetic analysis. Accelerated idioventricular rhythm in young athletes warrants careful clinical evaluation. (Level of Difficulty: Advanced.).
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