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Anomalous aortic origin of coronary arteries: Is it time to revise preparticipation screening guidelines?

Year: 2025
Type: article
Abstract: ABSTRACT Anomalous aortic origin of the coronary arteries has gained significant attention in recent years, being suggested as the second most common cause of sudden death among young athletes and schoolchildren. Most patients remain asymptomatic until intense physical activity triggers ischemia, leading to myocardial hypoperfusion and potentially resulting in syncope, chest pain, or sudden cardiac death. Due to its often-asymptomatic nature, this anomaly can be missed by a standard 12-lead electrocardiogram (ECG) at rest. Therefore, incorporating additional diagnostic tools, such as echocardiography or stress ECG, into preparticipation screening guidelines may improve detection and prevent tragic outcomes in at-risk individuals.
DOI: 10.4103/sjsm.sjsm_27_24
Authors: Antoine Fakhry AbdelMassih, Acsah Susan George, Ariba Shahid Siddiqui, Christina Baby, Irene Susanna Thomas, Meenakshi Jayachandran Naira, Zahra Zafar Althaf
Institutions: Cairo University, Shaikh Khalifa Medical City, Medical University of Varna, University of Buckingham, Azerbaijan Medical University, University of Debrecen, Tbilisi State Medical University, Ajman University
Language: English
Field: Medicine
Open Access status: hybrid
OpenAlex ID: W4411211416
FWCI:
Cites: 18
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Related to: 10