TY - JOUR
T1 - Differentiating athlete's heart from inherited cardiac pathology
T2 - The challenge of repolarisation abnormalities presenting during anaesthesia
AU - Dzendrowskyj, P.
AU - Hamilton, Bruce
AU - Wilson, M. G.
PY - 2013/3
Y1 - 2013/3
N2 - This case report describes an asymptomatic healthy male professional athlete who underwent general anaesthesia for a routine orthopaedic operation. Peri-procedure, pronounced ST elevation suggestive of myocardial ischaemia manifested on the electrocardiogram lasting for four hours post-procedure, upon which the athlete developed deep and diffuse inferolateral T-wave inversion. These changes resolved spontaneously and the patient remained clinically stable throughout. This case demonstrates the clinical conundrum facing anaesthetists attempting to differentiate between repolarisation anomalies that are commonly observed in high-level athletes and those of inherited cardiac pathology, namely hypertrophic cardiomyopathy, which is the leading cause of sudden cardiac death in young athletes.
AB - This case report describes an asymptomatic healthy male professional athlete who underwent general anaesthesia for a routine orthopaedic operation. Peri-procedure, pronounced ST elevation suggestive of myocardial ischaemia manifested on the electrocardiogram lasting for four hours post-procedure, upon which the athlete developed deep and diffuse inferolateral T-wave inversion. These changes resolved spontaneously and the patient remained clinically stable throughout. This case demonstrates the clinical conundrum facing anaesthetists attempting to differentiate between repolarisation anomalies that are commonly observed in high-level athletes and those of inherited cardiac pathology, namely hypertrophic cardiomyopathy, which is the leading cause of sudden cardiac death in young athletes.
KW - Athlete's heart syndrome
KW - Hypertrophic cardiomyopathy
KW - Repolarisation anomalies
UR - http://www.scopus.com/inward/record.url?scp=84876814870&partnerID=8YFLogxK
M3 - Article
C2 - 23530794
AN - SCOPUS:84876814870
SN - 0310-057X
VL - 41
SP - 256
EP - 260
JO - Anaesthesia and Intensive Care
JF - Anaesthesia and Intensive Care
IS - 2
ER -