The case
Description
- A 32 year-old, male, Caucasian professional cyclist attended for routine pre-participation screening as mandated by the Union Cycliste International (UCI).
- He was asymptomatic and had no family history of sudden death or of cardiac pathology.
- He trained for 30 hours per week.
His 12 lead ECG is shown below:
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References
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- [*6] Early repolarization pattern in competitive athletes: clinical correlates and the effects of exercise training.
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- [*7] Recommendations for interpretation of 12-lead electrocardiogram in the athlete.
Corrado D, Pelliccia A, Heidbuchel H, Sharma S, Link M, Basso C, Biffi A, Buja G, Delise P, Gussac I, Anastasakis A, Borjesson M, Bjørnstad HH, Carrè F, Deligiannis A, Dugmore D, Fagard R, Hoogsteen J, Mellwig KP, Panhuyzen-Goedkoop N, Solberg E, Vanhees L, Drezner J, Estes N a M, Iliceto S, Maron BJ, Peidro R, Schwartz PJ, Stein R, Thiene G, et al. Eur Heart J. 2010;31:243–259.
Notes to editor
Dr Greg Mellor, Cardiology 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
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