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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: nmotoki@shinshu-u.ac.jp
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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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References

1. Corrad, D, Pelliccia, A, Heidbuchel, H, et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Eur Heart J 2010; 31: 243–259.Google Scholar
2. Uberoi, A, Stein, R, Perez, MV, et al. Interpretation of the electrocardiogram of young athletes. Circulation 2011; 124: 746–757.Google Scholar
3. Schnell, F, Riding, N, O’Hanlon, R, et al. Recognition and significance of pathological T-wave inversion in athletes. Circulation 2015; 131: 165–173.Google Scholar
4. Pelliccia, A, Di Paolo, FM, Quattrini, FM, et al. Outcomes in athletes with marked ECG repolarization abnormalities. N Engl J Med 2008; 358: 152–161.Google Scholar
5. Papadakis, M, Carre, F, Kervio, G, et al. Prevalence, distribution, and clinical outcoms of electrocardiographic repolarization patterns in male athletes of African-Caribbean origin. Eur Heart J 2011; 32: 2304–2313.Google Scholar
6. Kervio, G, Pelliccia, A, Nagashima, J, et al. Alteration in echocardiographic and electrocardiographic features in Japanese professional soccer players: comparison to African-Caucasian ethnicities. Eur J Prev Cardiol 2013; 20: 880–888.Google Scholar
7. Zaidi, A, Sheikh, N, Jongman, JK, et al. Clinical differentiation between physiological remodeling and arrhythmogenic right ventricular cardiomyopathy in athletes with marked electrocardiographic repolarization anomalies. J Am Coll Cardiol 2015; 65: 2702–2711.Google Scholar
8. La Gerche, A, Burns, AT, Mooney, DJ, et al. Exercise-induced right ventricular dysfunction and structural remodeling in endurance athletes. Eur Heart J 2012; 33: 998–1006.Google Scholar
9. Arbab-Zadeh, A, Perhonen, M, Howden, E, et al. Cardiac remodeling in response to 1 year of intensive endurance training. Circulation 2014; 130: 2152–2161.CrossRefGoogle ScholarPubMed
10. Brosnan, MJ, Classen, G, Heibduchel, H, Prior, DL, La Gerche, A. Right precordial T-wave inversion in healthy endurance athletes can be explained by lateral displacement of the cardiac apex. J Am Coll Cardiol EP 2015; 1: 84–91.Google Scholar
11. Vessella, T, Cardillo, R, Bianco, M, Palmieri, V, Zeppilli, P. Marked negative T waves in athletes: ECG normalization after detraining. J Sports Med Phys Fitness 2013; 53: 520–523.Google Scholar