A tough one... 🔎
🧲 Highly active 🧒 16-year-old male (rock climbing, cycling) with exertional presyncope (blurred vision and collapse under heavy load, no complete loss of consciousness).
🧲 Asymptomatic otherwise: denies chest pain, palpitations, or prior syncope.
🧲 PMH: Exertional rhabdomyolysis (suspected neuromuscular disorder), resolved fetal hydrothorax, and spina bifida.
🧲 Family History: Unremarkable.
🧲 Initial Workup: Normal PE, EKG, and Echo.
#WhyCMR was ordered for better evaluation...
🔑 Clue: IT IS NOT MYOCARDITIS 😉
@SCMRorg