At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.
Consider the following scenario:
A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
- Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
- Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenari
Explanation & Answer
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Running head: HEART MURMUR IN ATHLETES
Heart Murmur in Athletes
HEART MURMUR IN ATHLETES
Heart Murmur in Athletes
Cardiovascular diseases are among the leading causes of death around the globe, with
coronary heart disease being the main culprit. Other heart conditions include aortic as well as
peripheral arterial disease. In unique cases, abnormal heart murmurs may go together with heart
disease and cardiomyopathy, leading to heart attack and resultant death. Innocent heart murmurs,
which are often harmless, are usually caused by the turbulent or rough flow of blood through the
arteries or n...
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