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New onset of electrocardiographic abnormalities heralding hypertrophic cardiomyopathy in an adult athlete

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A 41-year-old male asymptomatic athlete with unremarkable personal and family history of heart disease underwent annual preparticipation screening. No abnormalities were noted on prior testing. On this occasion, a 12-lead electrocardiogram showed diffused and marked repolarization abnormalities. He was therefore referred for echocardiography, which showed moderate asymmetric hypertrophy localized at the mid-apical portions of the left ventricular anterolateral wall. Cardiac magnetic resonance confirmed the diagnosis of hypertrophic cardiomyopathy. Re-evaluation of the electrocardiogram performed the previous year revealed a completely normal tracing.
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Keywords: cardiac magnetic resonance; cardiomipathies; echocardiography; hypertrophic cardiomiopathy

Document Type: Research Article

Affiliations: 1: Department of Cardiovascular Diseases, University of Siena, Siena 2: Referral Center for Cardiomyopathies, Careggi University Hospital, Florence 3: CMSR Veneto Medica, Altavilla Vicentina, Italy

Publication date: May 1, 2011

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