The case
Description
- 17-year-old male athlete was referred for specialist investigation after an abnormal ECG on routine pre-participation cardiac evaluation.
- He had been participating in competitive exercise since the age of 12 years.
- His current regime consisted of swimming for 20 hours and cycling for 6 hours per week.
- He was asymptomatic. There was no past medical or family history of note.
- He denied recreational or performance enhancing drug use. Cardiac examination identified bradycardia of 40 beats per minute.
- A transthoracic echocardiogram revealed a structurally normal heart.
The 12-lead ECG is shown below.
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