Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_439»
«MEDICAL WRITING: CASE ABSTRACT_439»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Unusual cause of
exercise-induced ventricular fibrillation in a well-trained adult endurance
athlete: a case report
The diseases responsible for
sudden deaths in athletes differ considerably with regard to age. In young
athletes, congenital malformations of the heart and/or vascular system cause
the majority of deaths and can only be detected noninvasively by complex
diagnostics. In contrast, in older athletes who die suddenly, atherosclerotic
disease of the coronary arteries is mostly found. Reports of congenital coronary
anomalies as a cause of sudden death in older athletes are rare.
A 48-year-old man who was a
well-trained, long-distance runner collapsed at the finish of a half marathon
because of a myocardial infarction with ventricular fibrillation. Coronary
angiography showed an anomalous origin of the right coronary artery from the
left sinus of Valsalva with minimal wall alterations. Multislice computed
tomography of the coronary arteries confirmed these findings. Cardiomagnetic
resonance imaging demonstrated a mild hypokinesia of the basal right- and
left-ventricular posterior wall. An electrophysiological study showed an
inducible temporary polymorphic ventricular tachycardia and an inducible
ventricular fibrillation. The athlete was subsequently treated by
acetylsalicylic acid 100 mg (0-1-0), bisoprolol 2.5 mg (1-0-0) and atorvastatin
10 mg (0-0-1) and was instructed to keep his training intensity under the
'individual anaerobic threshold'. Intense and long-lasting exercise under
extreme environmental conditions, particularly heat, should also be avoided.
This case report presents a
coronary anomaly as the most likely reason for an exercise-induced myocardial
infarction with ventricular fibrillation in a well-trained 48-year-old endurance
athlete. Therefore, coronary anomalies have also to be considered as a possible
cause of cardiac problems in older athletes.
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?