Table 6

Seven athletes with a positive diagnosis of a disease associated with sudden cardiac death

AthleteAge (years)EthnicitySportFHSymptomsAbnormal ECGDeep T-wave inversionsEcho resultCMR resultDiagnosis
129West-AsianAthleticsNoneNoneWPW – sustained
during exercise
NormalWPW – successful
ablation
213BlackFootballNoneNoneWPW – sustained
during exercise
NormalWPW
313West-AsianTennisNoneDifficulty training
at high heart rates
and systolic murmur
RVH and LVH
voltage criteria
NoneIVS 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
418BlackBasketballSCD of mother
(<35 years)
Chest pains on
exertion
ARVCV1–V6ARVCConfirmed ARVCARVC
530West-AsianFootballSCD of uncle
(<35 years)
Impact syncope
during exercise
RVH and LVH
voltage criteria
V3–V6IVS 13 mm, PWT 16 mm, LVIDd 40 mm,
abnormal LV wall motion and
diastolic dysfunction
Not done –
patient left Qatar
HCM
622BlackBasketballNonePost screening: two
episodes of sustained
VT during exercise
requiring cardioversion
LVH voltage criteria,
complete LBBB
and RAD
V3–V6IVS 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
718West-AsianFootballNone – sister
QTc <460 ms
NoneSerial ECGs – long QT
(500 ms)
NormalLong 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.