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Anterior T wave inversion in an athlete: Athlete’s heart or cardiac pathology?

Dr Michael Papadakis, Sports Cardiology Quiz Section Editor

The case


Repolarisation abnormalities in an athlete:

  • A 22 year old Caucasian international rugby player was referred following pre participation cardiac screening
  • He was asymptomatic, training on average 13 hours per week
  • There was no family history of premature cardiovascular disease or sudden cardiac death

His 12 lead ECG is shown below:



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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.



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Notes to editor

Dr Joyee Basu, BMBCh, MA (Oxon), MRCP, CRY Cardiology Research Fellow, Cardiology Clinical Academic Group, St George’s, University of London, UK

Dr Michael Papadakis, MD, MRCP, FESC, Senior Lecturer in cardiology, Cardiology Clinical Academic Group, St George’s, University of London, UK

Dr Svetlana Pitman, St George’s, University of London, UK