Abstract
Congenital coronary artery anomalies (CCAAs) may cause life-threatening arrhythmias, often triggered by exercise in young individuals. Timely recognition of this condition is crucial, particularly in young athletes, requiring a high level of suspicion. Premature ventricular complexes and nonsustained ventricular tachycardia are relatively common among young athletes and a thorough assessment is warranted to identify risky conditions. First-line, noninvasive exams are usually sufficient to exclude the most dangerous cardiac abnormalities, but, in specific circumstances, further investigations are needed to rule out conceiled cardiomyopathies and ensure safe continuation of sports activities.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation. 2009;119:1085–92.
Corrado D, Basso C, Rizzoli G, Schiavon M, Thiene G. Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol. 2003;42:1959–63.
Romfh A, Pluchinotta FR, Porayette P, Valente AM, Sanders SP. Congenital heart defects in adults: a field guide for cardiologists. J Clin Exp Cardiolog. 2012;Suppl 8:007.
Nucifora G, Muser D, Masci PG, Barison A, Rebellato L, Piccoli G, Daleffe E, Toniolo M, Zanuttini D, Facchin D, Lombardi M, Proclemer A. Prevalence and prognostic value of concealed structural abnormalities in patients with apparently idiopathic ventricular arrhythmias of left versus right ventricular origin: a magnetic resonance imaging study. Circ Arrhythm Electrophysiol. 2014;7:456–62.
Maury P, Rollin A, Mondoly P, Duparc A. Management of outflow tract ventricular arrhythmias. Curr Opin Cardiol. 2015;30:50–7.
Kim YR, Nam GB, Kwon CH, Lee WS, Kim YG, Hwang KW, Kim J, Choi KJ, Kim YH. Second coupling interval of nonsustained ventricular tachycardia to distinguish malignant from benign outflow tract ventricular tachycardias. Heart Rhythm. 2014;11:2222–30.
Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation. Mar 13 2007;115:1296–305.
Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol. 2000;35:1493–501.
Garcia-Arribas D, Olmos C, Higueras J, Marcos-Alberca P, de la Pedraja I, Garcia-Bouza M. Anomalous origin of left coronary artery with intramural aortic course causing symptoms in a teenaged athlete. Tex Heart Inst J. Apr 1 2020;47:165–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Pappone, C., Negro, G., Ciconte, G. (2023). Congenital Coronary Artery Anomalies: Differential Diagnosis of Ventricular Arrhythmias in Young Athletes. In: Butera, G., Frigiola, A. (eds) Congenital Anomalies of Coronary Arteries. Springer, Cham. https://doi.org/10.1007/978-3-031-36966-7_15
Download citation
DOI: https://doi.org/10.1007/978-3-031-36966-7_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-36965-0
Online ISBN: 978-3-031-36966-7
eBook Packages: MedicineMedicine (R0)