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Ventricular Pre-Excitation Pattern in a Competitive Athlete: Not All Pathways Are Created Equal
Adarsh Katamreddy1, Francis Phan1, Bradley J Petek1
1Oregon Health and Science University, Portland, Oregon, USA.
JACC. Case Reports
|May 9, 2026
Summary
Fasciculoventricular pathways (FVPs) are rare, benign causes of ventricular pre-excitation in athletes, posing no sudden cardiac death risk. Adenosine testing can differentiate these from higher-risk pathways, allowing continued sports participation without ablation.
Area of Science:
- Cardiology
- Electrophysiology
- Sports Medicine
Background:
- Ventricular pre-excitation in athletes necessitates risk stratification.
- Fasciculoventricular pathways (FVPs) are a rare, benign subtype of accessory pathways.
- Distinguishing FVPs from higher-risk pathways is crucial for management.
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