Murphy D, Vazquez G and Wright J
The acute onset of chest pain, dyspnea, and decreased exercise tolerance is of significant concern. When this occurs in a teenage patient who was previously considered healthy requires further extensive evaluation. It is important to restrict any and all physical activity until a full cardiorespiratory evaluation has been completed along with laboratory evaluation. The aforementioned symptoms in an adolescent patient requires evaluation for congenital heart disease with thorough evaluation of the patient’s family history. An electrocardiogram may identify non-specific pathology that would guide and confirm the need for further diagnostic testing and evaluation. It is imperative to discuss and explain with the patient and parents what the concerns are, and the need for restricted physical activity over the course of the evaluation. Young athletes will have the desire to continue with their sport, but as the healthcare provider you must ensure that the patient and parents understand the danger that may be associated including sudden cardiac death.
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