Heart Failure in an Elite Soccer Player

Abstract

The following case illustrates several important features: firstly, the occurrence of tachycardia-induced cardiomyopathy during sustained atrial tachycardia at a relatively modest heart rate of 130 beats per minute, in an elite athlete. Secondly, tachycardia may induce severe and occasionally life-threatening impairment of the systolic ventricular function without a history of palpitations. Finally, our patient is an excellent example of the complete recovery that may follow successful radiofrequency catheter ablation, performed promptly once the correct diagnosis has been confirmed.

Tachykardiomyopathy - atrial tachycardia - catheter ablation - heart failure

References

• 1 Chen S A, Chiang C E, Yang C J. et al . Sustained atrial tachycardia in adult patients: Electrophysiological characteristics, pharmacological response, possible mechanism, and effects of radiofrequency ablation.  Circulation. 1994;  90 1262-1278
• 2 Chen S A, Tai C T, Chiang C E, Ding Y A, Chang M S. Focal atrial tachycardia: Reanalysis of the clinical and electrophysiologic characteristics and prediction of successful radiofrequency ablation.  J Cardiovasc Electrophysiol. 1998;  9 355-365
• 3 Corey W A, Markel M L, Hoit B D, Walsh R A. Regression of a dilated cardiomyopathy after radiofrequency ablation of incessant supraventricular tachycardia.  Am Heart J. 1993;  126 1469-1473
• 4 Fromer M, Genton C, Schlaepfer J, Goy J J, Kappenberger L. Is there an isolated arrhythmogenic right atrial myocarditis?.  Eur Heart J. 1990;  11 566-571
• 5 Frustaci A, Cameli S, Zeppilli P. Biopsy evidence of atrial myocarditis in an elite athlete developing transient sinoatrial disease.  Chest. 1995;  108 1460-1462
• 6 Gallagher J J. Tachycardia and cardiomyopathy: The chicken-egg dilemma revisited.  J Am Coll Cardiol. 1985;  6 1172-1173
• 7 Gillette P C, Wampler P G, Garson A, Zinner A, Ott D, Cooley D. Treatment of atrial automatic tachycardia by ablation procedures.  J Am Coll Cardiol. 1985;  6 405-409
• 8 Gillette P C, Smith R T, Garson A jr. et al . Chronic supraventricular tachycardia. A cause of congestive cardiomyopathy.  JAMA. 1985;  253 391-392
• 9 Kasper E K, Agema W RP, Hutchins G M, Deckers J W, Hare J M, Baughman K L. The causes of dilated cardiomyopathy: a clinicopathologic review of 673 consecutive patients.  J Am Coll Cardiol. 1994;  23 586-590
• 10 Kay G N, Chong F, Epstein A E, Dailey S M, Plumb V J. Radiofrequency ablation for treatment of primary atrial tachycardias.  J Am Coll Cardiol. 1993;  21 901-909
• 11 Muller J, Wallukat G, Dandel M. et al . Immunoglobin adsorption in patients with idiopathic dilated cardiomyopathy.  Circulation. 2000;  101 385-391
• 12 Olsson S B, Blomstrom P, Sabel K G, William-Olsson G. Incessant ectopic atrial tachykardia: successful surgical treatment with regression of dilated cardiomyopathy picture.  Am J Cardiol. 1984;  53 1465-1466
• 13 Packer D L, Bardy G H, Worley S J. et al . Tachykardia-induced cardiomyopathy: a reversible form of left ventricular dysfunction.  Am J Cardiol. 1986;  57 563-570
• 14 Poty H, Saoudi N, Haissaguerre M, Daou A, Clementy J, Letac B. Radiofrequency catheter ablation of atrial tachycardia.  Am Heart J. 1996;  131 481-489
• 15 Sutton M S, Cole P, Plappert M, Saltzman D, Goldhaber S. Effects of subsequent pregnancy on left ventricular function in peripartum cardiomyopathy.  Am Heart J. 1991;  121 1776-1778