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An athlete with repolarisation anomalies on exercise testing

Dr Michael Papadakis, Sports Cardiology Quiz Section Editor

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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Note: The views and opinions expressed on this page are those of the author and may not be accepted by others. While every attempt is made to keep the information up to date, there is always going to be a lag in updating information. The reader is encouraged to read this in conjunction with appropriate ESC Guidelines. The material on this page is for educational purposes and is not for use as a definitive management strategy in the care of patients. Quiz material in the site are only examples and do not guarantee outcomes from formal examinations.


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