Comment 'Initially I thought ...' to '56 year old healthy marathon runner male presented with syncope ...'

Comment to 56 year old healthy marathon runner male presented with syncope ...

  • Initially I thought he may have HOCM, because ECG has high voltage

    however his echo showed mild increase LV wall thickness and CMR normal

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      So, simply "athletic heart"..(increased mass and bradycardia/vagal effect in context of systematic training). I bet that his syncope is simply vaovagal and has nothing to do with his EKG changes. Thanks for sharing @Mohsin Salih

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