A 22-Year-Old Man Comes to the Office for an Exercise

A 22-year-old man comes to the office for an exercise evaluation.  He is an avid long-distance runner.  One of his team members was disqualified recently due to health issues, which made him worried about his health.  He has no medical history and does not take any medications or illicit drugs.  His maternal grandfather died suddenly at age 40.  Blood pressure is 125/75 mm Hg and pulse is 55/min.  Transthoracic echocardiogram results are as follows: The right ventricle appears normal and there are no valvular lesions.  Which of the following best explains this patient's echocardiogram findings?

A) Anabolic steroid abuse
B) Cardiac adaptation
C) Hypertrophic cardiomyopathy
D) Premature coronary artery disease
E) Subclinical viral myocarditis

Correct Answer:

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