Full Recovery Within 30 in Medicine / Internal Medicine — 26yo Man | Cardiology | SMLE Q#1089
SMLE Question #1089
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 26-year-old male football player has a brief syncopal episode during a match with full recovery within 30 seconds. For several weeks, he has had exertional lightheadedness. His father died suddenly at 37 while jogging. Cardiac examination reveals a crescendo–decrescendo midsystolic murmur at the left lower sternal border that becomes louder with Valsalva. A 12-lead ECG shows normal sinus rhythm. What is the most appropriate next step in management?
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