Articles related to SPORTS MEDICINE

The patient’s blood pressure is 110/70 and his pulse is 52. Cardiac auscultation is normal. BMI is 22. The ECG shows sinus bradycardia and voltage criteria for LVH. The QT interval is 400 ms, and there is early repolarization. Review the details of the ECG and echo and determine your diagnosis.

Commotio cordis — cardiac arrest after a blunt force trauma to the chest — is thought to occur because a hard object strikes the chest in a vulnerable moment in the cardiac cycle, setting off ventricular fibrillation. The rare condition has been described with a ball strike to the chest, but primarily in young men whose chests haven’t fully developed, making them more susceptible to the blunt force of a ball.

An 18-year-old man comes to you for a sports physical. He is asymptomatic, with no limitation in his exercise capacity. He has a history of exercise-induced bronchospasm for which he takes a budesonide-formoterol inhaler. He does not smoke, drink alcohol, or use any drugs. There is no family history of cardiac disease or sudden death. What’s the next appropriate test?