A 32-Year-Old Woman Comes to the Office for Preconception Medical

A 32-year-old woman comes to the office for preconception medical evaluation.  She feels well, reports no health issues, and has had regular menstruations.  The patient is an elite long-distance swimmer and recently retired from professional career of 10 years.  She still continues to practice swimming regularly.  The patient does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 114/66 mm Hg and pulse is 60/min.  Physical examination shows no abnormalities.  Compared to a person of similar age and sex with sedentary lifestyle, which of the following cardiac changes are most likely present in this patient?

A) A
B) B
C) C
D) D
E) E

Correct Answer:

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