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Sudden improvement in ventricular repolarization abnormality after a short detraining period in an athlete

Published online by Cambridge University Press:  27 June 2017

Noriko Motoki ,
Yohei Akazawa ,
Akira Hachiya  and
Yuji Inaba
Noriko Motoki*
Affiliation:
Department of Pediatrics, School of Medicine, Shinshu University, Matsumoto, Japan
Yohei Akazawa
Affiliation:
Department of Pediatrics, School of Medicine, Shinshu University, Matsumoto, Japan
Akira Hachiya
Affiliation:
Department of Pediatrics, School of Medicine, Shinshu University, Matsumoto, Japan
Yuji Inaba
Affiliation:
Department of Pediatrics, School of Medicine, Shinshu University, Matsumoto, Japan
*
Correspondence to: N. Motoki, MD, PhD, Department of Pediatrics, School of Medicine, Shinshu University, Asahi 3-1-1, Matsumoto, Japan. Tel: +81 0263 37 2642; Fax: +81 0263 37 3089; E-mail: [email protected]
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Abstract

We describe the case of a 17-year-old male soccer player with T-wave inversion in precordial leads in resting electrocardiography, which also disclosed sinus bradycardia, early repolarization, and increased QRS voltage. These findings strongly suggested cardiomyopathy. The patient’s T-wave inversion disappeared during only 2 weeks of detraining, and it re-appeared 2 weeks after resumption of intensive training. This sudden change in electrocardiographic parameters over a short period helped in identifying the adolescent as having athlete’s heart.

Keywords

Athlete’s heartelectrocardiographyT-wave inversionarrhythmogenic right ventricular cardiomyopathy
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 9 , November 2017 , pp. 1849 - 1852
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Copyright
© Cambridge University Press 2017 

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