Athlete’s heart vs. apical hypertrophic cardiomyopathy: look again!

An asymptomatic, athletic 53-year-old man was evaluated for an abnormal life insurance electrocardiogram (ECG) that showed deep T-wave inversions (15 mm) across the anterior leads ( Panel A ). He was a passionate cyclist and cycled more than 100 miles per week. The abnormal ECG prompted a transthoracic echocardiogram (TTE) for evaluation of …