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Image of the month : Uncommon pattern of left ventricular hypertrophy in young athlete: early expression of hypertrophic cardiomyopathy or just athlete’s heart?

Young athletes’ world represents such a multifaceted context where pathophysiology evidences are constantly emerging from the literature. This is the case, for instance, of benign and malign early repolarization patterns.
Likewise, the causes of repolarization anomalies at ECG always are under investigation. The pathophysiology of negative T‐waves may be of clinical concern when deciding about sports’ eligibility, especially in young apparently healthy individuals intended for high‐level training activities. The case is presented of a 19‐year‐old Caucasian male professional soccer player who presented to our Hospital for preparticipation screening with ECG suggestive for left ventricular (LV) hypertrophy (figure). However, transthoracic Doppler echocardiography demonstrated normal left ventricular end‐ diastolic volume index with wall thickness <12 mm in all segments (panel A), LV mass index <90 g/m2, preserved ejection fraction and normal diastolic function. However, something unusual was disclosed at the echocardiogram (panels B and C). What is your opinion about?

Notes to editor

Presented by : Cesare de Gregorio, Messina (Italy)
The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.