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nt: 15-year-old male presents with 4 weeks of exertional dyspnea and 2 weeks of palpitations

nt: 15-year-old male presents with 4 weeks of exertional dyspnea and 2 weeks of palpitations at rest. History of Present Illness: The patient is a 15-year-old previously healthy male who reports a 4-week history of shortness of breath occurring specifically during football practice. The dyspnea is exercise-induced, occurring during the approximately 1.5-hour practice sessions, and represents a new symptom for him as he previously tolerated similar levels of physical activity without difficulty. Two weeks ago, the patient began experiencing palpitations at rest. These episodes last for several minutes at a time and occur when he is not physically active. He describes feeling his heart racing or beating irregularly during these episodes. The patient reports having a cold for over a month, which preceded the onset of his cardiac symptoms. His sister has also been ill with a similar cold. The shortness of breath is notably worse during football practice compared to other activities. The patient consumes 1-2 energy drinks daily, which he has been doing for an unspecified period of time.

 
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