Deconditioning the athletic heart

A 42-year-old competitive runner was referred for cardiac screening following the death of one of his running partners from a cardiomyopathy. He had no significant cardiac symptoms and there was no family history of a cardiomyopathy. Baseline ECG and echocardiography were abnormal with deep T-wave inversion in leads V1–V3 (figure 1A), mild left ventricular …