T-wave inversions and the role of de-training in the differentiation of athlete's heart from pathology

is 6 months too long?

Gregory Whyte, John Somauroo, Mathew Wilson, Sanjay Sharma

Research output: Contribution to journalComment/debate

5 Citations (Scopus)

Abstract

Electrocardiographic changes are common in athletes. Differentiation of a physiological from a pathological substrate is important as ECG changes may indicate underlying cardiac disease placing the athlete at increased risk of sudden cardiac death. Deep T-wave inversions are uncommon in Caucasian athletes however; appear more prevalent in black athletes. Irrespective of the ethnic origin of the athlete, deep T-wave inversions require thorough follow-up. At present, 6 months de-training is recommended to assist in the differentiation of physiologic and pathologic changes where a definitive diagnosis is elusive through standard diagnostic techniques. This case study examines findings from a black and a Caucasian athlete presenting with deep T-wave inversions following a brief (ca.3 week) period of de-training resulting in normalisation of T-wave. These cases suggest that a shorter period of time may be sufficient in differentiating physiological from pathological mechanisms for deep T-wave inversions.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalBMJ Case Reports
Volume2012
DOIs
Publication statusPublished - 30 Sep 2012
Externally publishedYes

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Athletes
Pathology
Sudden Cardiac Death
Heart Diseases
Electrocardiography

Cite this

Whyte, Gregory ; Somauroo, John ; Wilson, Mathew ; Sharma, Sanjay. / T-wave inversions and the role of de-training in the differentiation of athlete's heart from pathology : is 6 months too long?. In: BMJ Case Reports. 2012 ; Vol. 2012. pp. 1-4.
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T-wave inversions and the role of de-training in the differentiation of athlete's heart from pathology : is 6 months too long? / Whyte, Gregory; Somauroo, John; Wilson, Mathew; Sharma, Sanjay.

In: BMJ Case Reports, Vol. 2012, 30.09.2012, p. 1-4.

Research output: Contribution to journalComment/debate

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