Related Experiment Video
Updated: Mar 31, 2026

Real-Time Electrocardiogram Monitoring During Treadmill Training in Mice
Published on: May 5, 2022
Adolescent Athlete With PRKAG2 Hypertrophic Cardiomyopathy: A Success Story With Shared Decision-Making
William W Russell1, Stephen Paridon1, Shannon O'Malley1
1Department of Pediatric Cardiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Background:
Providers treating pediatric athletes with hypertrophic cardiomyopathy (HCM) face challenging decisions for competitive sports participation.
Case Summary:
A 16-year-old with PRKAG2+ HCM with Wolff-Parkinson-White presented for a second opinion regarding baseball participation. Under previous care, he was allowed to play baseball in a limited capacity. He had no symptoms or arrhythmias, and cardiac magnetic resonance imaging demonstrated asymmetric septal wall thickening without fibrosis and was initially cleared for full baseball participation. Over time, new arrhythmias were noted, and ventricular scar was seen on cardiac magnetic resonance. Using shared decision-making (SDM), the patient now plays competitive golf and is considering an implantable cardioverter defibrillator.
Discussion:
This case demonstrates the temporal evolution of HCM and the importance of SDM when considering sport participation. Sports can play an important role in quality of life, and this should be considered in SDM.
Take-Home Message:
HCM can evolve through adolescence, and SDM can assist in sport-participation decisions.
More Related Videos
Related Concept Videos
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy V: Interprofessional Care
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy
Cardiomyopathy I: Introduction and Classification
Mitral Valve Prolapse II: Assessment and Management

