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Recognition and Significance of Pathological T-Wave Inversions in Athletes
Author(s) -
Frédéric Schnell,
Nathan R Riding,
Rory O’Hanlon,
P. Lentz,
Erwan Donal,
Gaëlle Kervio,
David Matelot,
Guillaume Leurent,
Stéphane Doutreleau,
Laurent Chevalier,
Sylvain Guérard,
Mathew G Wilson,
François Carré
Publication year - 2014
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.114.011038
Subject(s) - medicine , athletes , pathological , clinical significance , physical therapy
Pathological T-wave inversion (PTWI) is rarely observed on the ECG of healthy athletes, whereas it is common in patients with certain cardiac diseases. All ECG interpretation guidelines for use within athletes state that PTWI (except in leads aVR, III and V1 and in V1-V4 when preceded by domed ST segment in asymptomatic Afro-Caribbean athletes only) cannot be considered a physiological adaptation. The aims of the present study were to prospectively determine the prevalence of cardiac pathology in athletes presenting with PTWI, and to examine the efficacy of cardiac magnetic resonance in the work-up battery of further examinations.

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