What To Do with Hypertension and a Murmur Found During a Preparticipation Physical Evaluation?

What To Do with Hypertension and a Murmur Found During a Preparticipation Physical Evaluation?


Angeline L Ong, MD; Daniel V Vigil, MD

Fall 2005 - Volume 9 Number 4

https://doi.org/10.7812/TPP/05-086

Case Example

An 18-year-old male is seen in the clinic for a preparticipation physical evaluation (PPE). Physical examination shows blood pressure of 145/90 mmHg and a grade 3/6 systolic murmur. Records show that one year ago during his PPE, the patient had high normal blood pressure and a grade 2/6 systolic murmur but was cleared to exercise and was told to limit his salt intake. He is asymptomatic.

Click here to join the E-TOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

The Permanente Journal

Sponsored by the eight Permanente Medical Groups, The Permanente Journal advances knowledge in scientific research, clinical medicine, and innovative health care delivery.

Reprint Permissions

The Permanente Journal welcomes requests for reprints and reproduction. Use of any and all material published in The Permanente Journal is copyrighted and protected.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to healthcare. Journal subscriptions are entered for the calendar year. Advance payment in US dollars is required.


ISSN 1552-5775 Copyright © 2018 thepermanentejournal.org.

The Permanente Press. All Rights Reserved.