SEM Academy ECG Interpretation in Athletes Case Study Quiz

Is this ECG normal or abnormal?

A 22 year old male of Afro-Caribbean descent playing in the Australian Football League presents for a screening ECG. He has no cardiovascular symptoms and no family history of heart disease. His ECG is shown below. You assess the ECG for normality or abnormality and try to identify the normal or abnormal components.

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* 1. Is his ECG “normal” or “abnormal” based on the International Criteria for ECG interpretation in athletes?

Normal

Abnormal

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* 2. What specific ECG finding(s) make this ECG abnormal warranting additional cardiac testing?

ST elevation and T-wave inversion in V3 and V4

T-wave inversion in V5 and V6

T-wave inversion in II and aVF

Both A and B

Both B and C

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* 3. What cardiac imaging is recommended to exclude cardiomyopathy in athletes with inferolateral T-wave inversion?

Echocardiogram

Cardiac MRI

Both A and B

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* 4. Which of the following ECG findings is not part of a normal repolarization pattern in black athletes (of Afro-Caribbean descent)?

J-point elevation in the precordial leads

Domed ST elevation in V1-V4

T-wave inversion in V1-V4

T-wave inversion in V5-V6