a fit lad with an unfit lad外文参考.pdf

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JACC March 24, 2020
Volume 75, Issue 11
FIT Clinical Decision Making
A FIT LAD WITH AN UNFIT LAD
Poster Contributions
Posters Hall_Hall A
Saturday, March 28, 2020, 10:00 .-10:45 .
Session Title: FIT Clinical Decision Making: Acute and Stable Ischemic Heart Disease 1
Abstract Category: Acute and Stable Ischemic Heart Disease
Presentation Number: 1130-280
Authors: Jennifer Frampton, Danette Flint, Alexandra Ortengren, Timothy Beaver, Dartmouth-Hitchcock Medical Center, Lebanon, NH,
USA
Background: Despite a healthy lifestyle, endurance athletes can develop obstructive coronary disease and require appropriate evaluation,
medical and interventional therapies.
Case: A 58-year-old healthy male presented to the emergency department after a witnessed cardiac arrest while exercising at a gym.
He had a shockable rhythm and was successfully resuscitated. The patient was an endurance athlete, exercising regularly, sometimes
twice day. In the week prior to presentation, he had been experiencing exertional chest pressure that resolved with rest. Exam was
unremarkable, he was physically fit and well appearing. Electrocardiogram showed no ischemic changes. Echocardiography revealed