A 16-year-old Caucasian national level cyclist…Deciphering the role of anterior T-wave inversion in young athletes

Sabiha Gati, Sports Cardiology Quiz Section Editor

29 Jul 2019

Dr. Sabiha Gati

Prof. Sanjay Sharma , FESC

Topic(s):

Rehabilitation and Sports Cardiology

The case

A 16-year-old Caucasian national level cyclist underwent a cardiac evaluation organised by a charity organisation. He attended on a voluntary basis after a fellow cyclist suffered a sudden cardiac arrest during a race in 2013.

He was asymptomatic at the time and there was no relevant family history of premature cardiovascular disease or sudden cardiac death.
His ECG (Figure 1) showed sinus bradycardia with T-wave inversion in leads V1-V3, borderline prolonged S wave duration of 55 msec in V2 and the possibility of an Epsilon wave in lead V1.

Figure 1: ECG 2013

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References

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Notes to editor

Author information:

Dr Gati, Sabiha. Lister Hospital, East & North Hertfordshire NHS Trust.
Prof Sharma, Sanjay, St. George’s, University of London