AI Article Synopsis
- Pre-participation screening for athletes with congenital heart conditions like valvulopathy can be complex, especially in ultra-endurance sports.
- A 55-year-old female athlete developed signs of heart failure during a long ultra-trail race, despite having no prior heart issues.
- An echocardiogram revealed a parachute mitral valve that, while normal at rest, showed severe narrowing during exercise, highlighting the need for thorough cardiac evaluations for athletes with rare valve issues.
Article Abstract
Pre-participation screening and management of congenital cardiac valvulopathy in competitive athletes can be challenging, particularly within the context of ultra-endurance disciplines. A 55-year-old female athlete without a reported history of cardiac disease exhibited clinical signs of cardiogenic pulmonary edema during a 156 km ultra-trail race. The echocardiographic assessment revealed the presence of a parachute mitral valve, with no evidence of mitral stenosis or regurgitation at rest, but it demonstrated severe dynamic mitral stenosis during exercise. In competitive athletes, the detection of rare valvulopathy should prompt a comprehensive cardiac evaluation aimed at assessing the potential for dynamic valvular dysfunction.
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| http://dx.doi.org/10.1016/j.jsams.2024.03.002 | DOI Listing |
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