In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.

Management of young athletes with T-wave inversions

Dr Michael Papadakis, Sports Cardiology Quiz Section Editor



The case

Description

  • A 17-year-old Caucasian swimmer was referred for specialist investigation after an abnormal ECG on routine pre-participation cardiovascular screening.
  • He had been participating in competitive exercise since the age of 11 years.
  • His current regime consisted of swimming for 4 hours 5-6 days per week.
  • He did not report any sinister cardiac symptoms. He denied recreational or performance enhancing drug use.
  • There was no family history of premature sudden cardiac death or cardiomyopathy.
  • Clinical examination was unremarkable.

His 12-lead ECG is presented below. 

ecg-quiz-dec-2014-case-image.jpg

 

 

Test your knowledge

 

Interested in learning more?

Access the ESC e-learning platform and discover the EAPC Sports Cardiology online courses.

Not yet an EAPC member?

JOIN NOW

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.

References

Notes to editor

Dr. Silvia Castelletti, Cardiomyopathy Fellow, The Heart Hospital, London, UK
Dr. Giovanni Quarta, PhD, Consultant Cardiologist, AO Papa Giovanni XXIII, Bergamo, Italy
Dr. Michael Papadakis, Lecturer in cardiology, St George’s University of London, UK