|Click to enlarge|
- 78 bpm
- Sinus rhythm
- PR - Normal
- QRS - Normal
- QT - 440ms (QTc Bazette 465 ms)
- ST Elevation (1mm) leads V1-3
- No ST depression
- T wave inversion leads I, aVL, V1-6
- Features suggestive of ACS
- Pain-free patient on arrival to ED
- Only complained of dysponea
- ? Reperfusion / Wellen's
- ? Cardiomyopathy
Following urgent cardiology consult the patient was taken for angiography.
There was no evidence of vessel disease but appearance was typical for Takotsubo cardiomyopathy likely secondary to exertional stress from triathlon.
What are the potential complications of endurance sports ?
- Acute renal failure
- Myocardial strain
- Studies have shown raised troponin's in marathon runners
- Environmental illness
- Water ingestion
Life in the Fast Lane
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.