Diagnostic conundrums in Sports Cardiology

Dr Michael Papadakis, Sports Cardiology Quiz Section Editor

30 Jun 2014

Prof. Sanjay Sharma , FESC

Prof. Michael Papadakis , FESC

Dr. Sabiha Gati

The case

Description

35-year-old Caucasian female football player underwent pre-participation cardiovascular screening.
She exercised for 10 hours per week.
She did not report any sinister cardiac symptoms, apart from feeling slightly more breathless than her teammates.
She was not on any regular medications and there was no family history of premature sudden cardiac death or cardiomyopathy.
Clinical examination was unremarkable. Her 12-lead ECG is presented below.

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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.

References

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[*2] Should axis deviation or atrial enlargement be categorised as abnormal in young athletes? The athlete's electrocardiogram: Time for re-appraisal of markers of pathology.
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[*3] Comparison of electrocardiographic criteria for the detection of cardiac abnormalities in elite black and white athletes.
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[5*] Increased left ventricular trabeculation in highly trained athletes: Do we need more stringent criteria for the diagnosis of left ventricular non-compaction in athletes?
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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

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