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COVID-19 and Cardiology Read more

Trabeculations of the athlete's heart

Dr Michael Papadakis, Sports Cardiology Quiz Section Editor

The case


  • 23-year-old Afro-Caribbean football player underwent pre-participation cardiovascular screening.
  • He exercised for 12 hours per week.
  • He did not report any sinister cardiac symptoms.
  • He was not on any regular medications and there was no family history of premature sudden cardiac death or cardiomyopathy.
  • Clinical examination was normal.

The 12-lead ECG and echocardiogram is presented below (see accompanying videos).







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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.


Notes to editor

Dr Sabiha Gati, Cardiac Imaging 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