Global Hypokinesis in Medicine / Internal Medicine — 24yo Man | Cardiology | SMLE Q#16430

SMLE Question #16430

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 24-year-old man presents for pre-participation screening before joining a competitive sports team. He has no chest pain, dyspnea, palpitations, syncope, or exercise intolerance. Physical examination is unremarkable. Transthoracic echocardiography shows left ventricular ejection fraction of 40% with global hypokinesis and no significant valvular disease. What is the most appropriate next step in management?

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