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An athlete with repolarisation anomalies on exercise testing

Dr Michael Papadakis, Sports Cardiology Quiz Section Editor

Sports Cardiology


The case


  • A 54-year-old master triathlete attends an inherited cardiac diseases clinic as part of familial evaluation after the sudden death of his 44-year-old brother.
  • His brother died in his sleep and a subsequent post-mortem did not identify any cardiac or extra-cardiac pathology.
  • The athlete has been competing for more than 30 years and has never experienced any significant cardiovascular symptoms and there was no past medical history of note.
  • Clinical examination was unremarkable.

This is 12 Lead ECG undertaken as part of the evaluation: 



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Notes to editor

Dr Harshil Dhutia, Cardiology research fellow
Dr Michael Papadakis, Lecturer in Cardiology, St George’s University of London
Prof Sanjay Sharma, Professor of Clinical Cardiology, St George’s University of London