A 52-year-old Caucasian veteran triathlete is admitted to hospital with chest pain. He continues to compete on a regular basis and trains 6 hours per week. He doesn’t have any coronary risk factors and he is not on any regular medication. There is no family history of premature sudden cardiac death or cardiomyopathy. Clinical examination is unremarkable. He is kept under observation at the emergency department for twelve hours and repeat troponin tests are normal. An echocardiogram is performed and reported to be in keeping with athlete’s heart, thus he is reassured and discharged.
His 12-lead ECG on admission is presented below.
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Notes to editor
Dr Gherardo Finocchiaro, Clinical research fellow, St George’s university of London
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