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Hypertrophic cardiomyopathy — UKMLA MCQ

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HardMedical Conditions in SportHypertrophic cardiomyopathyUKMLA

A 19-year-old basketball player collapses during exertion with brief seizure-like activity. Family history reveals a cousin died suddenly aged 24. Examination later shows a systolic murmur that increases with Valsalva. What is the most likely diagnosis?

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Correct answer: C — Hypertrophic cardiomyopathy

Syncope during exertion is a red flag for cardiac disease. A murmur increasing with Valsalva and family history of sudden death suggest hypertrophic cardiomyopathy. The athlete needs urgent cardiac assessment and restriction from intense sport pending evaluation.

Reference: ESC sports cardiology guidance; FSEM