Athlete's Heart w/ Myocarditis or Hypertrophic Cardiomyopathy?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

caters
New Member


Date Joined Sep 2016
Total Posts : 1
   Posted 9/18/2016 11:36 AM (GMT -6)   
This isn't for me. But nevertheless I want an answer to my question.

Here is the patient:
Age: 17
Gender: Female
Name: unknown
Medical History: Infections but nothing serious
Exercise History: Muscle toning exercises 5-6 times a week but not 5-6 times in a row
Family History: Paternal grandparents died of the plague years before she was born
Genetics: No genetic diseases
Weight: Normal
Height: Average

Symptoms:
Chest pain
Cardiomegaly
Hypertrophy
SOB(shortness of breath)

EKG:
High voltage but otherwise SB(Sinus Bradycardia)

BP:

High side of normal(to be expected when you have more cardiac muscle)

Other:
Strong pulse
Can feel heartbeat all the time
Hear heartbeat often

So far it sounds like a case of Athlete's Heart with everything healthy and hypertrophy and cardiomegaly. Her hypertrophy was caused by exercise which is normal. Her strong pulse is probably due to increased stroke volume as is her bradycardia. Feeling and hearing your heartbeat is normal when your heart is strong. Even I can sometimes hear my heart beat even while resting without using a stethoscope.

But I am wondering if this is Hypertrophic Cardiomyopathy given that this patient has chest pain. I don't think someone who is healthy and has symmetric ventricular hypertrophy(characteristic of Athlete's Heart) would have chest pain due to their heart beating strongly. They might have a headache due to a strong pulse but this patient has been acclimated to this strong pulse and has no headaches.

She says that her chest pain is near her heart which is always concerning. This makes me think that maybe it is Athlete's Heart w/ Myocarditis or Hypertrophic Cardiomyopathy. Creatinine tests haven't been done and nor have any other cardiac enzyme tests.

Just from this info alone can I determine whether the chest pain is from Myocarditis of an otherwise healthy heart or Hypertrophic Cardiomyopathy?

If so which one is it?

If not, what do I need to do to determine it? Creatinine?(though with all her muscle toning, it will probably be elevated as a norm) Cardiac enzymes?(Though that could mislead me to believe it is a heart attack when there is no ischemia) X ray?(I don't know if myocarditis will affect a chest x ray of someone who already has cardiomegaly due to ventricular hypertrophy) 12 lead?(so far I have only done a rhythm strip)

If it is neither one of those(I am not sure if Myocarditis would affect a Ventricular Hypertrophy EKG or not), then what else could it be?

Pratoman
Veteran Member


Date Joined Nov 2012
Total Posts : 5354
   Posted 9/18/2016 1:36 PM (GMT -6)   
Way above my head. If she is concerned, she should see a Cardiologist.
Dx Age 64 Nov 2014, 4.3
BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5)
downgraded to 3+3=6 by Dr Epstein, JH
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margivns, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, 4/15 <.02 7/15 <.02, 10/15 0.00 (new lab) , 1/16, 0.00, 6/16 0.00
My Story: tinyurl.com/oo9x4aq

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16030
   Posted 9/18/2016 5:31 PM (GMT -6)   
I completely agree with Pratoman, she should see a cardiologist to get an opinion. By the way you seem to know the cardiac lingo awfully well. Asking questions of this nature on a public forum really is not in this girl's best interest, a good cardiologist could answer any question.

Good luck.
Susie
Moderator in Chronic Pain & Psoriasis Forums

Post Edited (straydog) : 9/19/2016 8:40:24 AM (GMT-6)


theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 20140
   Posted 9/18/2016 7:51 PM (GMT -6)   
are you a med student??? enzymes need doing. all relevant bloods and a cardiologist consult. consulting her gp for a referral would be my immediate suggestion.
THE HAPPY TURTLE.

A QUOTE FROM THE HAPPY TURTLE THAT REFLECTS ME.

"COMPLEXITY IS MY WAY OF EXPRESSING MY NEEDS IN A MANNER THAT IS NEITHER DESTRUCTIVE, NOR NEGATIVE"
'
New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, April 26, 2018 11:32 AM (GMT -6)
There are a total of 2,955,926 posts in 324,275 threads.
View Active Threads


Who's Online
This forum has 162257 registered members. Please welcome our newest member, tiggeerrific.
334 Guest(s), 14 Registered Member(s) are currently online.  Details
john4803, JudyLinx'd, BabsBunny, 134th, Dahlias, tarhoosier, tiggeerrific, Aurorakitty, Information Seeker, Girlie, Missouri, Wotan, UCer23, Labradorite