Congenital coronary artery anomalies: Differential diagnosis of ventricular arrhythmias in young athletes

Congenital coronary artery anomalies (CCAAs) may cause life-threatening arrhythmias, often triggered by exercise in young individuals. Timely recognition of this condition is crucial, particularly in young athletes, requiring a high level of suspicion. Premature ventricular complexes and nonsustained ventricular tachycardia are relatively common among young athletes and a thorough assessment is warranted to identify risky conditions. First-line, noninvasive exams are usually sufficient to exclude the most dangerous cardiac abnormalities, but, in specific circumstances, further investigations are needed to rule out conceiled cardiomyopathies and ensure safe continuation of sports activities.