Interpretation of electrocardiogram in an ultra-marathon athlete: a case report

Autor: Claudio Moro, Pietro Vandoni, Antonio Villa, Carlo Valena, Luisa Chiappa, Isabella Riva, Mario Macchiarulo
Rok vydání: 2019
Předmět:
Zdroj: Italian Journal of Medicine, Vol 12 (2019)
ISSN: 1877-9352
1877-9344
DOI: 10.4081/itjm.2019.1074
Popis: The electrocardiogram (ECG) of athletes, especially in those that are endurance-trained, frequently shows some alterations; however, abnormalities of athlete’s ECG may be an expression of an underlying heart disease, which carries a risk of sudden death during sport. It is important that ECG abnormalities are correctly distinguished. We report a case of an ultramarathon athlete who arrived in Emergency Department, after a 100-kilometer race, showing ECG alterations that required further investigations to rule out a cardiac disease. ECG trace showed anterior repolarization abnormalities with ST-segment elevation in V1 to V3 leads. He was admitted to the Cardiology Department and underwent a coronary study that was normal. A cardiac magnetic resonance was also performed. The final diagnosis was athlete’s heart.
Databáze: OpenAIRE