Evidence map›Paper›PMID 37761288›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Exercise-Induced Arrhythmia or Munchausen Syndrome in a Marathon Runner?

Robert Gajda, Wojciech Drygas, Jacek Gajda, Pawel Kiper, Beat Knechtle, Magdalena Kwaśniewska, Maciej Sterliński, Elżbieta Katarzyna Biernacka

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Robert GajdaCenter for Sports Cardiology at the Gajda-Med Medical Center in Pułtusk, ul. Piotra Skargi 23/29, 06-100 Pułtusk, Poland.ORCID 0000-0002-8305-8130
Wojciech DrygasFaculty of Medicine, Lazarski University, ul. Swieradowska 43, 02-662 Warsaw, Poland.
Jacek GajdaCenter for Sports Cardiology at the Gajda-Med Medical Center in Pułtusk, ul. Piotra Skargi 23/29, 06-100 Pułtusk, Poland.
Pawel KiperHealthcare Innovation Technology Lab, IRCCS San Camillo Hospital, Via Alberoni 70, 30126 Venice, Italy.ORCID 0000-0001-5990-5734
Beat KnechtleInstitute of Primary Care, University of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0002-2412-9103
Magdalena KwaśniewskaDepartment of Preventive Medicine, Faculty of Health Sciences, Medical University of Lodz, ul. Lucjana Żeligowskiego 7/9, 90-752 Łódź, Poland.ORCID 0000-0003-4547-5627
Maciej SterlińskiNational Institute of Cardiology, ul. Alpejska 42, 04-628 Warszawa, Poland.
Elżbieta Katarzyna BiernackaNational Institute of Cardiology, ul. Alpejska 42, 04-628 Warszawa, Poland.
Institute of Cardiology · PLIRCCS San Camillo Hospital · ITJan Długosz University · PLMedical University of Lodz · PLUczelnia Łazarskiego · PLUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 36-year-old professional marathon runner reported sudden irregular palpitations occurring during competitions, with heart rates (HR) up to 230 bpm recorded on a sports HR monitor (HRM) over 4 years. These episodes subsided upon the cessation of exercise. Electrocardiograms, echocardiography, and cardiac magnetic resonance imaging results were borderline for athlete's heart. Because an electrophysiology study and standard exercise tests provoked no arrhythmia, doctors suspected Munchausen syndrome. Ultimately, an exercise test that simulated the physical effort of a competition provoked tachyarrhythmia consistent with the HRM readings. This case demonstrates the diagnostic difficulties related to exercise-induced arrhythmia and the diagnostic usefulness of sports HRMs.

Indexed as

arrhythmiaartifactsathlete’s heartendurance runningexertion rhythm disordersheart rate monitorMunchausen syndrometachycardia

Identifiers

PMID37761288
PMCPMC11340689
OpenAlexW4386638341

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.