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Medicine General f7b85008

Which of the following ECG changes in an Asymptomatic Athlete's Hea should be considered pathological?

A
Increased amplitude of QRS
B
Second Degree (Mobitz 1) hea block
C
Prolonged QTc Interval
D
T Wave inversion
High-Yield Explanation
Answer is C (Prolonged QTc Interval) A Prolonged QT Interval that is corrected for hea rate (Prolonged QTc) in an athlete should be considered pathological and evaluated fuher. Prolonged QT interval is a normal finding in professional athletes and is often seen due to the presence of bradycardia. The presence of prolonged QT interval corrected for hea rate (QTc) is however unusual. The presence of prolonged QTc Interval should be considered pathological and evaluated .fuher Athlete's hea is usually associated with a prolonged QT interval because of bradycardia. Professional athletes should be evaluated fuher for Identification of a prolonged QT Interval corrected for hea rate (QTc). QTc interval at upper limit is a common finding in athletes, however the presence of a significantly prolonged QTc interval in athletes should be considered a pathological finding and evaluated fuher to exclude Congenital Long QT Syndrome (LQTS). Congenital Long QT Syndromes (LOTS) are a recognized cause of adrenergic mediated polymorphic ventricular tachycardia and has been implicated in exercise related sudden cardiac death in young athletes. The identification of a prolonged QT interval corrected for hea rate (QTc) should be considered pathological and evaluated fuher.

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