A 17-Year-Old Boy Is Brought to the Office for a Routine

A 17-year-old boy is brought to the office for a routine presports physical evaluation.  The patient has no symptoms.  He plays competitive soccer for his high school.  Blood pressure is 120/80 mm Hg, pulse is 62/min, and respirations are 15/min.  BMI is 27 kg/m².  The patient is well built with increased skeletal muscle mass.  Physical examination is unremarkable.  ECG demonstrates normal sinus rhythm with T-wave inversion in leads V₅ and V₆.  Echocardiography reveals left ventricular hypertrophy with impaired early diastolic filling and mild left atrial enlargement.  What is the most likely diagnosis in this patient?

A) Athlete's heart
B) Brugada syndrome
C) Hypertrophic cardiomyopathy
D) Undiagnosed hypertension

Correct Answer:

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