One of the best midfielders in the game of football collapsed just 2-3 minutes before halftime the day before in the European Championship game against Finland. Luckily he recovered after one DC defibrillator shock. He is in hospital and stable now. Christian has played for Tottenham Spur in the past and was screened then. He currently plays for Inter Milan and must have been rigorously screened in Italy too. This means arrhythmogenic right ventricular dysplasia, hypertrophic cardiomyopathy, bicuspid aortic valve, and mitral valve prolapse have been ruled out by 2 D echo. Channelopathies like QT and Brugada syndromes must have been ruled by 12 lead ECG as also WPW syndrome. There is no news that he suffered acute coronary syndrome. An educated guess therefore could be a congenital aberrant coronary artery that is not detected by an ECG, echocardiogram, or an exercise ECG test. An aberrant artery is compressed with each heartbeat as it courses between the aorta and pulmonary artery, triggering ischemia and creating an arrhythmogenic substrate. An aberrant coronary artery can be checked with a CT angiogram. Another possibility is lingering myocarditis following a mildly symptomatic Covid infection, which can be ascertained by serology testing (for antibodies) and cardiac MRI. As per the Inter Milan doctor, Christian has not been vaccinated against Covid. Here is wishing Christian a speedy and full recovery.


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