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An athlete with repolarisation anomalies on exercise testing

Test your knowledge with the ECG quiz prepared by experts of the EACPR Sports Cardiology Section

The authors:

St George’s university of London, UK:
Dr Harshil Dhutia, Cardiology research fellow
Dr Michael Papadakis, Lecturer in cardiology
Prof Sanjay Sharma, Professor of clinical cardiology
on behalf of the EACPR Sports Cardiology Section.
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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