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New onset of electrocardiographic abnormalities heralding hypertrophic cardiomyopathy in an adult athlete
Author(s) -
Mondillo S.,
Olivotto I.,
Palmerini E.,
Nistri S.
Publication year - 2011
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/j.1445-5994.2011.02482.x
Subject(s) - medicine , hypertrophic cardiomyopathy , asymptomatic , cardiology , cardiomyopathy , family history , left ventricular hypertrophy , electrocardiography , muscle hypertrophy , magnetic resonance imaging , heart disease , radiology , heart failure , blood pressure
A 41‐year‐old male asymptomatic athlete with unremarkable personal and family history of heart disease underwent annual preparticipation screening. No abnormalities were noted on prior testing. On this occasion, a 12‐lead electrocardiogram showed diffused and marked repolarization abnormalities. He was therefore referred for echocardiography, which showed moderate asymmetric hypertrophy localized at the mid‐apical portions of the left ventricular anterolateral wall. Cardiac magnetic resonance confirmed the diagnosis of hypertrophic cardiomyopathy. Re‐evaluation of the electrocardiogram performed the previous year revealed a completely normal tracing.