ST domed Elevation – an Atypical Variant of Early Repolarization in the White Athlete after the COVID-19 Pandemic. A Case Report.

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Published Mar 29, 2023
DOI: https://doi.org/10.18103/mra.v11i3.3656

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Main Article Content

Piotr Kosiorek
Sports and Medical Clinic, Sienkiewicza 79 A, 309, 15-003 Białystok; Maria Skłodowska-Curie Białystok Oncology Centre, Ogrodowa 12, 15-027 Białystok
Dorota Waloch
Sports and Medical Clinic, ul. Sienkiewicza 79 A, 309, 15-003 Białystok; Provincial Integrated Hospital Trauma and Orthopedic Department, Locomotor System Rehabilitation Unit ul. Medyczna 19, 09-400 Płock
Juliusz Kosel
Sports and Medical Clinic, Sienkiewicza 79 A, 309, 15-003 Białystok; Department of Anaesthesiology and Intensive Therapy with an Operating Theater, University Teaching Hospital in Białystok, ul. Skłodowskiej-Curie 24A, 15-276 Białystok
Renata Brycka-Safrończyk
Sports and Medical Clinic, Sienkiewicza 79 A, 309, 15-003 Białystok

Abstract

Background: Interpreting the electrocardiography (ECG) recording in young athletes is challenging for the sports doctor. Changes in intraventricular conduction and early ventricular repolarization observed during sports training are not always confirmed in the literature. We test healthy people and look for irregularities in their ECG records. The study aims to draw attention to ST-Elevation (STE) as a variant of the White Athlete's heart norm, with a frequency lower than an inverted T wave (TWI), but also as an effect of early repolarization of the ventricles in young athletes. Is it physiology?


Case report: 14-year-old football player, examined for five years at a sports clinic, cardiology checked every year. Changes like symptomatic adult ECGs with STE and myocardial necrosis were suspected during our observation. Echocardiography, stress test good. A simple response to exercise is to adapt the athlete's heart by ischemia, preconditioning for the heart muscle, and a reversible remodelling that disappears after the sports period. We focus on changes in ECG, which are observed in athletes under 14 years of age, while most of the ECG classifications in an athlete were described above 16 years of age.


Conclusion: the variant observed in our White Athlete is an example of several similar repolarization changes in ECG not yet classified as physiological or resulting from intensive training.

Keywords: ST-Elevation, early repolarization, ECG criteria, athletes

Article Details

How to Cite
KOSIOREK, Piotr et al. ST domed Elevation – an Atypical Variant of Early Repolarization in the White Athlete after the COVID-19 Pandemic. A Case Report.. Medical Research Archives, [S.l.], v. 11, n. 3, mar. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3656>. Date accessed: 04 dec. 2024. doi: https://doi.org/10.18103/mra.v11i3.3656.
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Issue
Vol 11 No 3 (2023): March issue, Volume 11, Issue 3
Section
Case Reports

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