points in history and examination
Last reviewed 03/2022
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
- athletes will more commonly show (1):
Contributors:
- Dr Andrew Murray, Dr Duncan Goodall
- Marathon Medical Services
- Prof Hillis
- Professor of Cardiology and Exercise Medicine, University of Glasgow
Reference:
- https://merck.com/mmpe/sec07/ch082/ch082c.html (merck manual)