This isn't for me. But nevertheless I want an answer to my question.
Here is the patient:
Age: 17
Gender: Female
Name: unknown
Medical History: Infections but nothing serious
Exercise History: Muscle toning exercises 5-6 times a week but not 5-6 times in a row
Family History: Paternal grandparents died of the plague years before she was born
Genetics: No genetic diseases
Weight: Normal
Height: Average
Symptoms:
Chest pain
Cardiomegaly
Hypertrophy
SOB(shortness of breath)
EKG:
High voltage but otherwise SB(Sinus Bradycardia)
BP:
High side of normal(to be expected when you have more cardiac muscle)
Other:
Strong pulse
Can feel heartbeat all the time
Hear heartbeat often
So far it sounds like a case of Athlete's Heart with everything healthy and hypertrophy and cardiomegaly.
But I am wondering if this is Hypertrophic Cardiomyopathy given that this patient has chest pain. I don't think someone who is healthy and has symmetric ventricular hypertrophy(characteristic of Athlete's Heart) would have chest pain due to their heart beating strongly. They might have a headache due to a strong pulse but this patient has been acclimated to this strong pulse and has no headaches.
She says that her chest pain is near her heart which is always concerning. This makes me think that maybe it is Athlete's Heart w/ Myocarditis or Hypertrophic Cardiomyopathy. Creatinine tests haven't been done and nor have any other cardiac enzyme tests.
Just from this info alone can I determine whether the chest pain is from Myocarditis of an otherwise healthy heart or Hypertrophic Cardiomyopathy?
If so which one is it?
If not, what do I need to do to determine it.
If it is neither one of those(I am not sure if Myocarditis would affect a Ventricular Hypertrophy EKG or not), then what else could it be?