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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

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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Notes to editor

Author information:

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