Evidence map›Paper›PMID 42104983›Full record

ArticleJACC. Case reports2026

Ventricular Pre-Excitation Pattern in a Competitive Athlete: Not All Pathways Are Created Equal.

Adarsh Katamreddy, Francis Phan, Bradley J Petek, Seshadri Balaji, Charles A Henrikson

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Adarsh KatamreddyOregon Health and Science University, Portland, Oregon, USA.
Francis PhanOregon Health and Science University, Portland, Oregon, USA.
Bradley J PetekOregon Health and Science University, Portland, Oregon, USA.
Seshadri BalajiOregon Health and Science University, Portland, Oregon, USA.
Charles A HenriksonOregon Health and Science University, Portland, Oregon, USA. Electronic address: henrikso@ohsu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentricular pre-excitation in competitive athletes requires careful evaluation as not all accessory pathways carry equal risk. Fasciculoventricular pathways (FVPs) are a rare, benign subtype that should be distinguished from higher-risk pathways. CASE SUMMARY: A 21-year-old asymptomatic male collegiate cross-country athlete was found to have a ventricular pre-excitation pattern on routine screening electrocardiogram. An electrophysiology study revealed a shortened His-ventricular interval with a fixed pre-excitation pattern during atrial pacing. Intravenous adenosine produced a transient atrioventricular block with a fixed pre-excitation pattern, confirming a benign FVP. No ablation was performed. DISCUSSION: FVPs represent less than 1% of cases of pre-excitation patterns and carry no risk of sudden cardiac death. Ablation is contraindicated (Class III: Harm) because of the risk of complete atrioventricular block. Adenosine testing can noninvasively differentiate FVPs from higher risk pathways. TAKE-HOME MESSAGES: Accurate characterization of accessory pathways is critical. Athletes with FVPs may continue unrestricted sports participation without ablation.

Indexed as

ablationexercisesupraventricular arrhythmias

Identifiers

PMID42104983
PMCPMC13379861

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.