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Ventricular hypertrophy in a young weightlifter
  1. Alexandra Dadarlat-Pop1,2,
  2. Raluca Tomoaia3,4,
  3. Adela Mihaela Șerban2,5
  1. 1 Faculty of Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
  2. 2 Cardiology Department, Heart Institute Niculae Stăncioiu Cluj-Napoca, Cluj-Napoca, Romania
  3. 3 Cardiology Department, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
  4. 4 Cardiology Department, Clinical Rehabilitation Hospital, Cluj-Napoca, Romania
  5. 5 Department of Internal Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
  1. Correspondence to Dr Raluca Tomoaia, Cardiology Department, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca 400347, Romania; raluca.tomoaia{at}gmail.com

https://doi.org/10.1136/heartjnl-2023-323413

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    An adult patient presented with palpitations, chest pain and reduced exertional capacity for 3 years. Previously, the patient was an amateur weightlifter who used anabolic steroids but had ceased supplements 3 years before admission. There was no family history of cardiovascular disease or sudden cardiac death.

    Blood pressure was elevated. The 12-lead ECG showed left ventricular hypertrophy and T wave inversion in the lateral and precordial leads. Laboratory tests revealed an elevated N-terminal pro-brain natriuretic peptide (NT-proBNP), normal high-sensitivity troponin T and severe hypertriglyceridaemia.

    Transthoracic echocardiography is shown in figure 1 …

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    Footnotes

    • Contributors AD-P prepared the first draft. RT and AMS reviewed and edited the final manuscript. All authors are responsible for the overall content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.