ASYMPTOMATIC AORTIC-INSUFFICIENCY IN A RUNNER

The case of an asymptomatic 21-year-old male college sprinter demonstr ates that aortic insufficiency may go undiagnosed despite severe under lying cardiac pathology: A murmur detected during the preparticipation exam was the first sign. Activity modification was an important initi al intervention. Echocardiography documented severe aortic regurgitati on. An exercise multiple gated acquisition (MUGA) scan identified abno rmal ejection fractions. After valve replacement, the patient's return to competition was guided by echocardiography, exercise testing, and input of the medical team and family.