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

  • Antonio Villa | antonio.villa@asst-monza.it Emergency Department, P.O. Desio, ASST Monza, Italy.
  • Pietro Vandoni Department of Cardiology, P.O. Desio, ASST Monza, Italy.
  • Isabella Riva Emergency Department, P.O. Desio, ASST Monza, Italy.
  • Claudio Moro Department of Cardiology, P.O. Desio, ASST Monza, Italy.
  • Luisa Chiappa Department of Cardiology, P.O. Desio, ASST Monza, Italy.
  • Carlo Valena Emergency Department, P.O. Desio, ASST Monza, Italy.
  • Mario Macchiarulo Emergency Department, P.O. Desio, ASST Monza, Italy.

Abstract

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.

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Published
2019-01-03
Section
Case Reports
Keywords:
Electrocardiogram, ultra-marathon athlete.
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How to Cite
Villa, A., Vandoni, P., Riva, I., Moro, C., Chiappa, L., Valena, C., & Macchiarulo, M. (2019). Interpretation of electrocardiogram in an ultra-marathon athlete: a case report. Italian Journal of Medicine, 13(1), 64-67. https://doi.org/10.4081/itjm.2019.1074