Key result
Echocardiography in a 15-year-old asymptomatic male athlete with new T-wave inversions revealed mildly increased myocardial thickness (13 mm), prompting further diagnostic evaluation.
Case Report (n=1)
New T-wave inversions on serial athlete screening warrant echocardiography; leaves open the prognostic value of mild myocardial changes in adolescents.
This is a case of initially 15 years of age, white, male from junior football team. He was completely asymptomatic, with no previous medical history or family history of sudden cardiac death and cardiac diseases. He has been playing football for 8 years. On periodic preparticipation screening, he presented T-wave inversions (TWIs) in leads V4–V6 and II, III, and aVF, which were not observed before on yearly screenings. Subsequently, he underwent echocardiography, which showed mildly increased myocardial thickness (13 mm) without other abnormalities. He was then referred to for further testing, which is discussed in the context of the current literature. Finally, management is presented.
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Łukasz A. Małek (2019) conducted a case report in T-wave inversions and borderline left ventricular hypertrophy (n=1). Echocardiography and further testing was evaluated. Echocardiography in a 15-year-old asymptomatic male athlete with new T-wave inversions revealed mildly increased myocardial thickness (13 mm), prompting further diagnostic evaluation.
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