Sport as Therapy

A cardiac lipoma is a benign primary tumor form of adipose tissue, composed of mature adipocytes that can be either capsuled or diffusely infiltrate the myocardium. Cardiac lipomas often are asymptomatic and depend on the size and location of the mass. Voluminous neoformations protruding in the hear...

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Autores principales: Libener E, Assisi E, Grossgasteiger S, Mur C, Resnyak S
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Publicado: Dynamic Media Sales Verlag 2021
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spelling oai:doaj.org-article:450d325cc580459ca987462fcf60ba8b2021-11-16T19:01:39ZSport as Therapy0344-59252510-5264doi:10.5960/dzsm.2021.491https://doaj.org/article/450d325cc580459ca987462fcf60ba8b2021-09-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2021/issue-5/intracardiac-lipoma-in-sports-medicine-a-clinical-case/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264A cardiac lipoma is a benign primary tumor form of adipose tissue, composed of mature adipocytes that can be either capsuled or diffusely infiltrate the myocardium. Cardiac lipomas often are asymptomatic and depend on the size and location of the mass. Voluminous neoformations protruding in the heart cavities can mimic valve pathologies and cause obstructive phenomena affecting the ventricular inflow or outflow tract or cause syncope, arrhythmias, conduction disturbances.Doppler echocardiography represents the simplest imaging procedure in the study of cardiac masses. However, the most accurate current diagnosis method in terms of sensitivity and specificity is the magnetic resonance, which can determine the morphological characteristics, dimensions, as well as the relationships with the surrounding structures. We present the case of a young sportsman to evaluate in terms of the risk profile for the practice of competitive sports with a diagnosis of cardiac lipoma. This mass was protruding into the outflow tract of the right ventricle without giving any sign of valvular obstruction. The athlete did not even refer any cardiac-related symptom. In this case the prepartecipation physical evaluation requires a careful medical history, a precise hemodynamic analysis with second and third level imaging studies and a specific stratification of the arrhythmic risk profile.Key Words:Magnetic Resonance, Cardiac Masses, Ventricular Arrhythmias, Athlete, EchocardiographyLibener EAssisi EGrossgasteiger SMur CResnyak SDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 72, Iss 5, Pp 251-254 (2021)
institution DOAJ
collection DOAJ
language DE
EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Libener E
Assisi E
Grossgasteiger S
Mur C
Resnyak S
Sport as Therapy
description A cardiac lipoma is a benign primary tumor form of adipose tissue, composed of mature adipocytes that can be either capsuled or diffusely infiltrate the myocardium. Cardiac lipomas often are asymptomatic and depend on the size and location of the mass. Voluminous neoformations protruding in the heart cavities can mimic valve pathologies and cause obstructive phenomena affecting the ventricular inflow or outflow tract or cause syncope, arrhythmias, conduction disturbances.Doppler echocardiography represents the simplest imaging procedure in the study of cardiac masses. However, the most accurate current diagnosis method in terms of sensitivity and specificity is the magnetic resonance, which can determine the morphological characteristics, dimensions, as well as the relationships with the surrounding structures. We present the case of a young sportsman to evaluate in terms of the risk profile for the practice of competitive sports with a diagnosis of cardiac lipoma. This mass was protruding into the outflow tract of the right ventricle without giving any sign of valvular obstruction. The athlete did not even refer any cardiac-related symptom. In this case the prepartecipation physical evaluation requires a careful medical history, a precise hemodynamic analysis with second and third level imaging studies and a specific stratification of the arrhythmic risk profile.Key Words:Magnetic Resonance, Cardiac Masses, Ventricular Arrhythmias, Athlete, Echocardiography
format article
author Libener E
Assisi E
Grossgasteiger S
Mur C
Resnyak S
author_facet Libener E
Assisi E
Grossgasteiger S
Mur C
Resnyak S
author_sort Libener E
title Sport as Therapy
title_short Sport as Therapy
title_full Sport as Therapy
title_fullStr Sport as Therapy
title_full_unstemmed Sport as Therapy
title_sort sport as therapy
publisher Dynamic Media Sales Verlag
publishDate 2021
url https://doaj.org/article/450d325cc580459ca987462fcf60ba8b
work_keys_str_mv AT libenere sportastherapy
AT assisie sportastherapy
AT grossgasteigers sportastherapy
AT murc sportastherapy
AT resnyaks sportastherapy
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