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Seghda TAA, Fremy D, Millogo GRC, Saludas Y, Aguettaz D, Riocreux C, Catalan PA, Flork L, Eschalier R, Motreff P, Citron B. [Ventricular arrythmia and sport practice: A Gallavardin's ventricular tachycardia during exercice in healthy heart, about a case and review of the literature]. Ann Cardiol Angeiol (Paris) 2019; 68:187-194. [PMID: 30704626 DOI: 10.1016/j.ancard.2018.08.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Accepted: 08/25/2018] [Indexed: 10/27/2022]
Abstract
Regular physical exercice has undeniable cardiovascular benefits and improves life expectancy. This benefice seems limited to moderate intensity exercises. Intense and chronic physical exercice would lead to heart structural changes. For a long time, knowledge of these cardiac effects seemed limited to the left ventricle. Since more authors have shown that right ventricle is vulnerability to the effects of intense chronic training. We report a Gallavardin-type ventricular stress tachycardia in a young with healthy hearted; in whom a right infundibular arrhythmogenic focus has been found in the absence of structural alteration of the right ventricle. Intense athletic activity may reveal a latent arrhythmogenic focus through sympathetic activation. Ablation was the preferred therapeutic strategy, preferred to drug therapy and derived from an analysis of risk-benefit ratios.
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Affiliation(s)
- T A A Seghda
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France.
| | - D Fremy
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - G R C Millogo
- Service de cardiologie, centre hospitalier d'Aurillac, 15000 Aurillac, France
| | - Y Saludas
- Service de cardiologie, pôle santé République, 63000 Clermont-Ferrand, France
| | - D Aguettaz
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - C Riocreux
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - P A Catalan
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - L Flork
- Service de Cardiologie, centre hospitalier Guy-Thomas de Riom, 79 boulevard Etienne-Clémentel, 63200 Riom, France
| | - R Eschalier
- Service de cardiologie, centre hospitalier universitaire Gabriel-Montpied, 63000 Clermont Ferrand, France
| | - P Motreff
- Service de cardiologie, centre hospitalier universitaire Gabriel-Montpied, 63000 Clermont Ferrand, France
| | - B Citron
- Service de cardiologie, centre hospitalier universitaire Gabriel-Montpied, 63000 Clermont Ferrand, France
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