Arrhythmia in an athlete diagnosed by smartphone electrocardiogram: a case report

Abstract Background This is the first case report demonstrating the use of a smartphone device, enabling the diagnosis of an arrhythmia in the sports cardiology literature. Case summary A 17-year-old semi-professional rugby player presented with recurrent episodes of palpitations terminated by vagal...

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Bibliographic Details
Published inEuropean heart journal : case reports Vol. 5; no. 5; p. ytab186
Main Authors Phillips, Daniel, O’Callaghan, Peter, Zaidi, Abbas
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.05.2021
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Summary:Abstract Background This is the first case report demonstrating the use of a smartphone device, enabling the diagnosis of an arrhythmia in the sports cardiology literature. Case summary A 17-year-old semi-professional rugby player presented with recurrent episodes of palpitations terminated by vagal manoeuvres. The rugby player’s resting 12-lead electrocardiogram (ECG), echocardiogram, and exercise stress test were normal. Due to his suggestive history and an ECG trace from a smartphone device, demonstrating a narrow complex tachycardia, an electrophysiological study was arranged. The study demonstrated a slow-fast atrioventricular nodal re-entrant tachycardia which was successfully ablated. Discussion The ambulatory use of a smartphone ECG device assisted in the timely diagnosis and management of an undiagnosed paroxysmal arrhythmia in a rugby player. This resulted in an expedited return to play.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytab186