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.


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