A professional athlete with exercise-induced syncope and transient ST-T abnormalities but normal comprehensive cardiac workup safely returned to play without recurrence at 6 months.
Requires comprehensive cardiac assessment in athletes with syncope; leaves open the prognostic significance of isolated ECG changes.
We describe the case of a 32-year-old male professional football player experiencing syncope during a warm-up ahead of a regular professional football league match. Syncope recovered spontaneously, but an electrocardiogram test revealed T-wave inversion and upward convex ST elevation. Subsequent echocardiogram, angiography, exercise stress test, cardiac magnetic resonance imaging, and gene analysis showed no abnormalities. The athlete had no recurrence of chest pain or syncope during the treatment period of about 4 weeks, and there was no recurrence of symptoms until 6 months after returning to sports.
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Lee et al. (2021) studied this question.
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