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 (firstname.lastname@example.org).
The authors report no conflicts of interest.
Received September 07, 2017
Accepted January 31, 2018