Electrocardiographic changes associated with training and discontinuation of training in an athlete with hypertrophic cardiomyopathy

The 12-lead electrocardiogram of a 17-year-old African professional soccer player had signs of left ventricular (LV) hypertrophy and deeply inverted T waves in the inferior and precordial leads. Two-dimensional echocardiography showed mild LV hypertrophy with normal cavity size consistent with nonob...

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Bibliographic Details
Published in:The American journal of cardiology 2004-02, Vol.93 (4), p.518-519
Main Authors: Sarto, Patrizio, Merlo, Laura, Noventa, Donatella, Basso, Cristina, Pelliccia, Antonio, Maron, Barry J.
Format: Article
Language:English
Subjects:
Adolescent
Analysis
Athletes
Black people
Cardiomyopathy, Hypertrophic - diagnosis
Cardiomyopathy, Hypertrophic - physiopathology
Cardiovascular disease
Electrocardiography
Humans
Male
Physical Education and Training
Soccer - physiology
Training
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Summary:The 12-lead electrocardiogram of a 17-year-old African professional soccer player had signs of left ventricular (LV) hypertrophy and deeply inverted T waves in the inferior and precordial leads. Two-dimensional echocardiography showed mild LV hypertrophy with normal cavity size consistent with nonobstructive hypertrophic cardiomyopathy. After 5 months of complete discontinuation of training, the electrocardiogram normalized; however, the echocardiogram was unchanged. Subsequently, and contrary to our advice, the athlete resumed training and professional soccer. One year later the electrocardiogram again showed a similar and markedly abnormal pattern without cardiac dimensional changes.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2003.10.064