A 24-year-old athlete man attended a routine clinic visit. He is asymptomatic and has no significant past medical history but was found to have a resting pulse of 47 beats/min, nor... A 24-year-old athlete man attended a routine clinic visit. He is asymptomatic and has no significant past medical history but was found to have a resting pulse of 47 beats/min, normal blood pressure, and cardiac examination. Normal CBC, renal function, LFT, and TSH. ECG normal only sinus bradycardia. Which of the following is the best advice? A. Reassurance B. Order urgent echo C. Genetic counselling D. Repeat ECG every 3 months
Understand the Problem
The question presents a clinical scenario involving a 24-year-old athlete with a resting pulse of 47 beats per minute and asks which of the listed options is the best medical advice for the patient.
Answer
Reassurance
The best advice for the 24-year-old asymptomatic athlete with sinus bradycardia is reassurance.
Answer for screen readers
The best advice for the 24-year-old asymptomatic athlete with sinus bradycardia is reassurance.
More Information
Athletes often have lower heart rates due to higher cardiovascular efficiency. Sinus bradycardia is typically benign in asymptomatic, trained individuals.
Tips
A common mistake would be to conduct further testing when it's unnecessary for asymptomatic individuals. Trust the examination results and patient history.
Sources
- Bradycardia - Symptoms and causes - Mayo Clinic - mayoclinic.org
- Bradycardia: Symptoms, Causes & Treatment - Cleveland Clinic - my.clevelandclinic.org
- Sinus Bradycardia | Cedars-Sinai - cedars-sinai.org
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