Palpitations In A Collegiate Basketball Athlete: A Common Complaint With An Uncommon Diagnosis

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Palpitations In A Collegiate Basketball Athlete: A Common Complaint With An Uncommon Diagnosis - Page #3

Lab Studies: CBC, CMP, TSH performed at initial work up were all within normal limits. Other Studies: CTA: no acute cardiopulmonary process. No evidence of PE. <br>Holter monitor: 742 PVCs in 24 hours; 6 beats of NSVT (unclear morphology) vs SVT with aberrancy. <br>Exercise Treadmill Stress ECG: No ischemic changes or dysrhythmias; PVCs from the inferior RV noted. <br>Cardiac MRI: <br> <a href="CaseStudyImages/CS1PalpitationsinaCo-396.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1Palpitationsin-396.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> RV mildly enlarged. The diaphragmatic/inferior RV wall and RV apex are focally dyskinetic. There is delayed and hyperenhancement of the inferior and apical RV walls. This is compatible with fibrofatty infiltration of the RV. <br>Signal Average ECG: Normal <br>Genetic testing: Pathogenic mutation in PKP2 R79X (Plakophilin 2) Consultations: Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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