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T-wave inversions in adolescent athletes

Dr Michael Papadakis, Sports Cardiology Quiz Section Editor

The case


  • A 14-year-old, Caucasian boy presents to his general practitioner with occasional sharp chest pains aggravated by movement.
  • These have been worse over the past few months whilst he has been training hard with the school rowing team.
  • His past medical history includes asthma for which he takes a salbutamol inhaler.
  • His sister had surgical correction of tetralogy of Fallot as a baby and his father has hypertension which is well controlled on Ramipril.

This is his 12-lead ECG. 


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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 Lynne Millar, 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