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Exercise-induced cardiopulmonary arrest in a child with aortic stenosis

Published online by Cambridge University Press:  10 May 2016

Hirofumi Saiki
Affiliation:
Department of Pediatrics and Pediatric Cardiology, Saitama Medical Center, Saitama Medical University, Saitama, Japan Department of Pediatrics, Asahikawa Medical University, Asahikawa, Japan
Masaya Sugimoto
Affiliation:
Department of Pediatrics and Pediatric Cardiology, Saitama Medical Center, Saitama Medical University, Saitama, Japan Department of Pediatrics, Asahikawa Medical University, Asahikawa, Japan
Hideaki Senzaki*
Affiliation:
Department of Pediatrics and Pediatric Cardiology, Saitama Medical Center, Saitama Medical University, Saitama, Japan Department of Pediatrics, Asahikawa Medical University, Asahikawa, Japan
*
Correspondence to: H. Senzaki, MD, Department of Pediatric Cardiology, Saitama Medical Center, Saitama Medical University, Staff Office Building 415, 1981 Kamoda, Kawagoe, Saitama 350-8550, Japan. Tel: +81 49 228 3717; Fax: +81 49 228 3863; E-mail: hsenzaki@saitama-med.ac.jp

Abstract

The beneficial effect of exercise restriction in preventing sudden cardiac death in children with aortic stenosis remains unclear. We report the case of a 15-year-old boy with congenital aortic stenosis who was resuscitated after sudden cardiac arrest during exercise. The case led to the new concept that exercise restriction may prevent not only unpredictable ventricular ischaemic events and associated arrhythmias but also progressive ventricular hypertrophy.

Type
Brief Reports
Copyright
© Cambridge University Press 2016 

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References

1. Campbell, M. Calcific aortic stenosis and congenital bicuspid aortic valves. Br Heart J 1968; 30: 606616.Google Scholar
2. Vahanian, A, Baumgartner, H, Bax, J, et al. Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J 2007; 28: 230268.Google Scholar
3. Bonow, RO, Cheitlin, MD, Crawford, MH, Douglas, PS. Task force 3: valvular heart disease. J Am Coll Cardiol 2005; 45: 13341340.Google Scholar
4. Maron, BJ, Thompson, PD, Ackerman, MJ, et al. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation 2007; 115: 16431655.CrossRefGoogle ScholarPubMed
5. Brown, DW, Dipilato, AE, Chong, EC, et al. Sudden unexpected death after balloon valvuloplasty for congenital aortic stenosis. J Am Coll Cardiol 2010; 56: 19391946.CrossRefGoogle ScholarPubMed
6. Crisafulli, A, Mancardi, D, Marongiu, E, Rastaldo, R, Penna, C, Pagliaro, P. Preconditioning cardioprotection and exercise performance: a radical point of view. Sport Sci Health 2015; 11: 137151.Google Scholar
7. Leischik, R, Spelsberg, N, Niggemann, H, Dworrak, B, Tiroch, K. Exercise-induced arterial hypertension – an independent factor for hypertrophy and a ticking clock for cardiac fatigue or atrial fibrillation in athletes? F1000Res 2014; 3: 105.Google Scholar
8. Senzaki, H, Iwamoto, Y, Ishido, H, et al. Ventricular-vascular stiffening in patients with repaired coarctation of aorta: integrated pathophysiology of hypertension. Circulation 2008; 118: S191S198.Google Scholar
9. Baumgartner, H, Hung, J, Bermejo, J, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. J Am Soc Echocardiogr 2009; 22: 123; quiz 101–102.Google Scholar