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Updated: Jan 17, 2026
05:48
Autonomic Function Following Concussion in Youth Athletes: An Exploration of Heart Rate Variability Using 24-hour Recording Methodology
Published on: September 21, 2018
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Fasciculoventricular Pathway in a Young Athlete-A Case Report.
Rita Amador1, Joana Certo Pereira1, Miguel Mata2
1Cardiology Department, Hospital de Santa Cruz, Lisbon, Portugal.
Summary
Fasciculoventricular pathways (FVPs) are rare causes of pre-excitation. Accurate diagnosis is crucial to avoid unnecessary procedures and exercise limitations in young athletes.
Area of Science:
- Pediatric Cardiology
- Electrophysiology
- Cardiac Arrhythmias
Background:
- Fasciculoventricular pathways (FVPs) are uncommon accessory pathways causing pre-excitation.
- FVPs can be misdiagnosed as more common accessory pathways in clinical practice.
- This case report focuses on the identification and management of FVPs.
Purpose of the Study:
- To highlight the key diagnostic features of fasciculoventricular pathways.
- To discuss the appropriate management of FVPs in pediatric patients.
- To emphasize the importance of accurate diagnosis to prevent unnecessary interventions.
Main Methods:
- A 12-year-old male athlete with asymptomatic pre-excitation on ECG was evaluated.
- Exercise stress testing revealed sustained pre-excitation.
- Electrophysiologic study confirmed an FVP without inducible arrhythmia.
Main Results:
- An electrophysiologic study definitively diagnosed a fasciculoventricular pathway.
- No inducible arrhythmias were detected during the study.
- The patient received authorization to return to play without restrictions.
Conclusions:
- Fasciculoventricular pathways are not substrates for re-entrant tachycardia or sudden death.
- Correct diagnosis of FVPs is essential to avoid unnecessary ablation procedures.
- Preventing undue exercise restriction is a key outcome of accurate FVP diagnosis.
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