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For many years, efforts have been made to elucidate the significance of altered ECG patterns in athletes, enabling to differentiate between physiological adaptations to regular exercise or underlying structural disorders. The study by Papadakis et al. 1 is another interesting investigation focusing on T-wave alterations in the subgroup of adolescent athletes. Although data on prevalence have been published before,2 the intriguing new aspect is the implementation of cardiac MRI into the screening procedure. With an increasing number of normal cardiac …

T-wave inversions in elite athletes: the best predictors have yet to be determined