TY - JOUR T1 - An asymptomatic teenager clears preparticipation evaluation. When enough is enough? JF - Heart JO - Heart SP - 1251 LP - 1259 DO - 10.1136/heartjnl-2019-314871 VL - 105 IS - 16 AU - Haroldo Aleixo AU - Marconi Gomes da Silva AU - Eduardo Back Sternick Y1 - 2019/08/01 UR - http://heart.bmj.com/content/105/16/1251.abstract N2 - 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 … ER -