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T wave inversions in a young athlete
  1. Vidang P Nguyen,
  2. Jordan M Prutkin
  1. Department of Medicine, Division of Cardiology, University of Washington, Seattle, Washington, USA
  1. Correspondence to Dr Vidang P Nguyen, Department of Medicine, Division of Cardiology, University of Washington, Seattle, WA 98195, USA; vidang{at}uw.edu

Abstract

Clinical introduction A 21-year-old black athlete presented for a preparticipation medical examination prior to playing collegiate basketball. He had no exercise limitations, syncope, dizziness or palpitations. He took no medications. There was no family history of coronary artery disease, cardiomyopathy, sudden cardiac arrest, drowning or seizures. Physical examination revealed a tall, well-appearing young man with an athletic build. Blood pressure was 119/61 mm Hg. Cardiac examination was unremarkable with no murmurs. A screening ECG is shown in Figure 1.

Figure 1

Resting 12-lead ECG performed in clinic. Patient was asymptomatic at the time of acquisition.

Question What is the next step in the evaluation of this patient?

  1. Transthoracic echocardiogram.

  2. Cardiac MRI.

  3. Holter monitor.

  4. Exercise treadmill stress test.

  5. No further testing indicated.

  • ECG/electrocardiogram

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Footnotes

  • Contributors Both authors contributed significantly to the conception of the manuscript, the drafting and revision of the manuscript and the final approval of the submitted work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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