etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of The Permanente Journal.

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

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.

Reprint Permissions

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


Journal subscriptions for The Permanente Journal are entered for the calendar year. Advance payment in US dollars is required.


27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.


Indexed in MEDLINE, PubMed Central, HINARI, EMBASE, EBSCO Academic Search Complete, rdrb, CrossRef, and SciVerse/Scopus.




ISSN 1552-5767 Copyright © 2019

All Rights Reserved.