Is this a typical ECG for an athlete?

Correct Answer: No.

Rationale: The ECG illustrates normal sinus rhythm with T wave inversions throughout the precordial leads and the inferior leads. The T wave inversions in the lateral (V5 and/or V6) and inferior leads (II and aVF, excluding III) found on this ECG are not typical in athletes and may reflect pathology. This finding would warrant further investigation with imaging assessment.

References

1. Drezner JA, et al. Br J Sports Med 2017;1:1–28