Negative T-waves in a young female soccer player

Sabiha Gati, Sports Cardiology Quiz Section Editor

28 Mar 2019

Dr. Christoph Ahlgrim

Topic(s):

Rehabilitation and Sports Cardiology

The case

Description

16-year-old Caucasian female national level soccer athlete presented for her yearly pre-participation screening as she is part of the soccer team of our federal state:

The patient was asymptomatic from a cardiovascular perspective with no family history of sudden cardiac death or other cardiovascular disease.
The athlete plays soccer as an outfield player competitively and is currently training for about 8-10 hours a week.
Her physical examination was unremarkable.
The patient’s electrolytes were normal.

A 12-lead ECG is shown below:

ECG case April2019-1.jpg

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References

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7. Pelliccia A, Di Paolo FM, Quattrini FM, Basso C, Culasso F, Popoli G, et al. Outcomes in athletes with marked ECG repolarization abnormalities. N Engl J Med. 2008;358:152–61.