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Ventricular tachycardia recorded in a competitive swimmer using Confirm Rx™ loop recorder

Published online by Cambridge University Press:  10 February 2020

Justin G. Yoon
Affiliation:
Case Western Reserve University School of Medicine, 2109 Adelbert Road, Cleveland, OH, USA
Christopher S. Snyder
Affiliation:
Case Western Reserve University School of Medicine, 2109 Adelbert Road, Cleveland, OH, USA Pediatric Cardiology, The Congenital Heart Collaborative, University Hospitals Rainbow Babies and Children’s Hospital, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH, USA
Walter J. Hoyt Jr.*
Affiliation:
Case Western Reserve University School of Medicine, 2109 Adelbert Road, Cleveland, OH, USA Pediatric Cardiology, The Congenital Heart Collaborative, University Hospitals Rainbow Babies and Children’s Hospital, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH, USA
*
Author for correspondence: Walter J. Hoyt, Jr., MD, Pediatric Cardiology and Electrophysiology, Adult-Congenital Cardiology and Electrophysiology, University Hospitals Rainbow Babies and Children’s Hospital, Cleveland, OH, USA. 44106-6007. Tel: +216-844-3437. Fax: +216-844-5478. E-mail: Walter.Hoyt@UHhospitals.org

Abstract

Conventional ambulatory heart rhythm monitoring is limited in its ability to provide rapid diagnosis of arrhythmias in athletes participating in water or high-intensity sports. This case report is of a 17-year-old female competitive swimmer who underwent loop recorder implantation with Confirm Rx™ ICM 3500 (Abbott, Minneapolis, MN) to monitor for arrhythmias during swimming. The purpose of this case report is to describe the utility of implantable loop recorders in arrhythmia diagnosis and symptom evaluation in water sport athletes.

Type
Brief Report
Copyright
© The Author(s) 2020. Published by Cambridge University Press

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Footnotes

All authors are responsible for the contents and have read and approved the manuscript for submission.

References

Nakao, M, Kobayashi, S.Usefulness of implantable loop recorder in a patient with syncope during bathing. J Arrhythmia 2011; 27 (Supplement): PJ1_064PJ061_064.CrossRefGoogle Scholar
Reyes, BA, Posada-Quintero, HF, Bales, JR, et al.Novel electrodes for underwater ECG monitoring. IEEE Trans Bio-med Eng 2014; 61(6): 18631876.CrossRefGoogle ScholarPubMed
Rossano, J, Bloemers, B, Sreeram, N, Balaji, S, Shah, MJ.Efficacy of implantable loop recorders in establishing symptom-rhythm correlation in young patients with syncope and palpitations. Pediatrics 2003; 112 (3 Pt 1): e228233.CrossRefGoogle ScholarPubMed
Giancaterino, S, Lupercio, F, Nishimura, M, Hsu, JC.Current and future use of insertable cardiac monitors. JACC Clin Electrophysiol 2018; 4(11): 13831396.CrossRefGoogle ScholarPubMed
Dwivedi, A, Joza, J, Malkani, K, et al.Implantable loop recorder in inherited arrhythmia diseases: a critical tool for symptom diagnosis and advanced risk stratification. JACC Clin. Electrophysiol 2018; 4 (10): 13721374.CrossRefGoogle ScholarPubMed
Zorzi, A, De Lazzari, M, Mastella, G, et al.Ventricular arrhythmias in young competitive athletes: prevalence, determinants, and underlying substrate. J. Am. Heart Assoc. 2018; 7 (12).CrossRefGoogle ScholarPubMed
Palatini, P, Maraglino, G, Sperti, G, et al.Prevalence and possible mechanisms of ventricular arrhythmias in athletes. Am Heart J 1985; 110 (3): 560567.CrossRefGoogle ScholarPubMed
Chahal, HS, Mostofsky, E, Mittleman, MA, et al.Aerobic fitness and risk of ventricular arrhythmia following physical exertion. Canad J Cardiol 2016; 32 (4): 533538.CrossRefGoogle ScholarPubMed
Peritz, DC, Howard, A, Ciocca, M, Chung, EH.Smartphone ECG aids real time diagnosis of palpitations in the competitive college athlete. J Electrocardiol 2015; 48 (5): 896899.CrossRefGoogle ScholarPubMed
Lazar, JM, Khanna, N, Chesler, R, Salciccioli, L.Swimming and the heart. Int. J Cardiol 2013; 168 (1): 1926.CrossRefGoogle ScholarPubMed