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Sudden cardiac death occurring in young athletes is a devastating event and prompted a worldwide debate regarding optimal cost-effective schemes for preventing this from happening.1 Preparticipation screening may include an ECG and an echocardiogram (English Football Association).
An asymptomatic 13-year-old boy underwent preparticipation screening before enrolling in football training. He had no family history of sudden death, a normal physical examination and 12-lead ECG (figure 1A) showing sinus rhythm, QTc=0.44 s, J wave presenting as a notch of 0.1 mV in inferolateral leads with a +/−T wave. He was considered fit and joined the junior football team.
Four years later, an ECG (figure 1B) showed a different pattern, with profound negative T waves in inferolateral leads, downslope of the ST segment of …
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.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Not required.