Table 6.
Athlete | Age (years) | Ethnicity | Sport | FH | Symptoms | Abnormal ECG | Deep T-wave inversions | Echo result | CMR result | Diagnosis |
---|---|---|---|---|---|---|---|---|---|---|
1 | 29 | West-Asian | Athletics | None | None | WPW – sustained during exercise |
– | Normal | – | WPW – successful ablation |
2 | 13 | Black | Football | None | None | WPW – sustained during exercise |
– | Normal | – | WPW |
3 | 13 | West-Asian | Tennis | None | Difficulty training at high heart rates and systolic murmur |
RVH and LVH voltage criteria |
None | IVS 14 mm, PWT 13 mm, LVIDd 41 mm, subaortic septal hypertrophy (18 mm), mitral valve prolapse and diastolic dysfunction |
Not done – patient left Qatar |
HCM |
4 | 18 | Black | Basketball | SCD of mother (<35 years) |
Chest pains on exertion |
ARVC | V1–V6 | ARVC | Confirmed ARVC | ARVC |
5 | 30 | West-Asian | Football | SCD of uncle (<35 years) |
Impact syncope during exercise |
RVH and LVH voltage criteria |
V3–V6 | IVS 13 mm, PWT 16 mm, LVIDd 40 mm, abnormal LV wall motion and diastolic dysfunction |
Not done – patient left Qatar |
HCM |
6 | 22 | Black | Basketball | None | Post screening: two episodes of sustained VT during exercise requiring cardioversion |
LVH voltage criteria, complete LBBB and RAD |
V3–V6 | IVS 14 mm, PWT 12 mm, LVIDd 58 mm and abnormal LV wall motion |
Normal CMR – echo dimensions confirmed – no LGE/oedema or systolic dysfunction |
HCM |
7 | 18 | West-Asian | Football | None – sister QTc <460 ms |
None | Serial ECGs – long QT (500 ms) |
– | Normal | – | Long QT syndrome |
ARVC, arrhythmogenic right ventricular cardiomyopathy; CMR, cardiac magnetic resonance; Echo, echocardiography; FH, family history; HCM, hypertrophic cardiomyopathy; IVS, interventricular septum; LBBB, left bundle branch block; LGE, late gadolinium enhancement; LVH, left ventricular hypertrophy; LVIDd, left ventricular internal diameter during diastole; PWT, posterior wall thickness; RAD, right axis deviation; RVH, right ventricular hypertrophy; SCD, sudden cardiac death; VT, ventricular tachycardia; WPW, Wolff–Parkinson–White.