A 34-year old triathlete was admitted under the cardiology team after self-presenting with one month of progressive shortness of breath now occurring at rest.
- He participated in several international sporting competitions.
- Blood tests showed an equivocal CRP and troponin level.
- Electrocardiogram (ECG) demonstrated sinus rhythm at 99bpm with inferolateral T-wave inversion.
- An echo demonstrated a non-dilated left ventricle (LV) with normal LV wall thickness and mildly reduced systolic function.
- An echogenic, thickened pericardium, a 12mm pericardial effusion and a large right sided pleural effusion were also seen.
The athlete was advised to stop all forms of exercise and further investigations were expedited.
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