Negative T-waves in a young female soccer player

27 March 2019
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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

 

References

1. Sharma S, Drezner JA, Baggish A, Papadakis M, Wilson MG, Prutkin JM, et al. International Recommendations for Electrocardiographic Interpretation in Athletes. J Am Coll Cardiol. 2017;69:1057–75.

2. Schnell F, Riding N, O’Hanlon R, Axel Lentz P, Donal E, Kervio G, et al. Recognition and significance of pathological T-wave inversions in athletes. Circulation. 2015;131:165–73.

3. Finocchiaro G, Papadakis M, Dhutia H, Zaidi A, Malhotra A, Fabi E, et al. Electrocardiographic differentiation between ‘benign T-wave inversion’ and arrhythmogenic right ventricular cardiomyopathy. Europace, 2019; 21:332-8.

4. Sheikh N, Papadakis M, Wilson M, Malhotra A, Adamuz C, Homfray T, et al. Diagnostic Yield of Genetic Testing in Young Athletes With T-Wave Inversion. Circulation. 2018;138:1184–94.

5. Mitchell JH, Haskell WL, Raven PB. Classification of sports. J Am Coll Cardiol. 1994;24:864–6.

6. Pelliccia A, Solberg EE, Papadakis M, Adami PE, Biffi A, Caselli S, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). Eur Heart J. 2019;40:19–33.

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.

Contributors

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