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A 52-year-old man lost consciousness while running on a hot day. He had been a professional football player for 15 years. ECG showed sinus rhythm, high R voltages with T inversion fulfilling the criteria for left ventricular (LV) hypertrophy (Figure 1A). This ECG LV hypertrophy pattern had been discovered at the age of 15 interpreted as ‘athlete's heart’. An echocardiographic exam showed normal ventricular volumes, wall thickness and contractility, but a defect in the apical interventricular septum was present (Figure 1B; online supplementary video S1). A cardiac …
Contributors AC is the first author and responsible for the overall content. LF is responsible for the CT scan images, their 3D reconstruction and AP is responsible for the cardiac MRI images; they both helped in the planning and revision of the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
Data sharing statement Clinical data and supplementary diagnostic images are available for those who may be interested.