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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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15 Yr-old Boy With BP Of 135/65, Pulse 68 Weight

15 yr-old boy with blood pressure of 135/65, pulse 68 weight 127lbs and 5'11 ? Is he at risk for heart problems? Has always been very active. Wants to play soccer in the school team and states that after very strenuous exercise he feels stabbing mild pain in the heart area which goes away after resting for ~5min. I m concerned because I know a boy who died playing basketball at age 18.
Thu, 17 Dec 2009
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It's a tough problem. The elevated systolic pressure can be followed for a short period. Does he lift weights? Systolic pressure elevations are seen in weight lifters. Although the most chest pain in adolescents is not related to heart problems, a few are. He needs to be checked out by a concerned physician, and possibly referred for a stress test and an echo to rule out things like a prolapsed mitral valve or hyperplastic left ventricle.
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15 Yr-old Boy With BP Of 135/65, Pulse 68 Weight

It s a tough problem. The elevated systolic pressure can be followed for a short period. Does he lift weights? Systolic pressure elevations are seen in weight lifters. Although the most chest pain in adolescents is not related to heart problems, a few are. He needs to be checked out by a concerned physician, and possibly referred for a stress test and an echo to rule out things like a prolapsed mitral valve or hyperplastic left ventricle.