A 50-year old female with no personal or family history of sudden cardiac death presented to our institution for a routine cardiovascular check-up. The athlete competed in air races nationally and internationally for the last 25 years. She reported no symptoms and no impairment of her physical performance. She does not take any medication and denied the use of illicit drugs.
- Body surface area (BSA) was 1.69
- Blood pressure and HR were within normal limits
- Cardiac auscultation revealed a mid to late systolic murmur.
- No peripheral oedema
Figure 1: 12-lead ECG
The resting ECG is normal, with training related changes including mild sinus bradycardia of 56 b.p.m and an incomplete bundle branch block:
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