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Points in history and examination

Authoring team

Should include:

  • Personal History
    • symptoms : chest pain/tightness, SOB, palpitations with exercise
    • history of faint/collapse during exercise, previous heart problems
    • medications (including performance enhancing)/ allergies)
    • previous investigations

  • Family History
    • sudden Cardiac Death/collapse during exercise
    • History helpful but not completely sensitive or specific

  • Physical examination
    • athletes will more commonly show (1):
      • sinus bradycardia
      • displaced apex beat
      • hyperdynamic pulses -3rd and 4th heart sounds

Contributors:

  • Dr Andrew Murray, Dr Duncan Goodall
    • Marathon Medical Services
  • Prof Hillis
    • Professor of Cardiology and Exercise Medicine, University of Glasgow

Reference:

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