A 17-year-old boy is brought to your clinic by his cricket coach in the afternoon. The patient had a syncopal event while playing. According to the coach and his team members, the boy regained consciousness (did not require resuscitation) and was directly brought to the clinic. A brief chat with the patient reveals that the patient had sudden midsternal chest pain and light-headedness before passing out.
The next thing he remembers is seeing his friends and coach gathered around him. General attributes The vital signs of the patient appear to be normal. The chest pain has completely stopped, and the patient is conscious, talkative, and alert without any distress. Physical examination During the examination, you notice an ejection click and a harsh, grade 3/6 systolic ejection murmur at the base of the patient’s heart and the right upper sternal border with radiation to both…
