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Pseudonormalization of the Typical Electrocardiography Repolarization Pattern of a Black Athlete

Dehghani Mohammadabadi, Mina, MD*; Chan, Winnie, MD, FRCPC*; Antiperovitch, Pavel, MD; Abdirahman, Ifrah, MD*; Glover, Benedict, MD*; Baranchuk, Adrian, MDFACC, FRCPC, FCCS*

doi: 10.1097/JSM.0000000000000613
Case Report: PDF Only

Abstract: Cardiac repolarization of black athletes has a distinctive pattern. During an episode of pericarditis, this pattern may evolve into a “pseudonormalized” electrocardiography (ECG). On resolution of the pericardial inflammation, the ECG may return to the normal variant for a black athlete, sounding the alarms of extended disease to the myocardium. Recognizing the normal variant for a black athlete will reduce the need for unnecessary further testing or treatments. The case is discussed in detail.

*Department of Medicine, Kingston General Hospital, Queen's University, Kingston, Ontario, Canada; and

Department of Medicine, University of Western Ontario, London Ontario, Canada.

Corresponding Author: Adrian Baranchuk, MD, FACC, FRCPC, FCCS, Division of Cardiology, Department of Medicine, Kingston General Hospital, Queen's University, 76 Stuart St, Kingston, Ontario, K7L 2V7, Canada (

The authors report no conflicts of interest.

Received September 07, 2017

Accepted January 31, 2018

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