Wayne is a 49yoa male who has been aware he has a heart murm…
Wayne is a 49yoa male who has been aware he has a heart murmur for years. A family doctor told him they would “follow-it”. Over the past year Wayne has become increasingly breathless during daily activities. As a recreational runner, he has become frustrated with being unable to run more than 10-15 minutes at a time for the past several months. He reports occasional chest pain during exercise but has not experiences any syncope or presyncope. Before his symptoms progressed, he ran at least 4 miles every morning and competed in road races up to the half-marathon distance. He reports no family history of cardiovascular disease, does not smoke, and does not take any prescribed medications. He takes a daily multivitamin and a fish oil supplement. Additional medical information is available below. Height: 6’1’’ Weight: 194lbs Resting BP: 118/59 Fasting Labs: Total cholesterol: 192 mg/dL LDL: 139mg/dL HDL: 52 mg/dL HbA1c: 4.8% Resting EKG: see below What is Wayne’s BMI classification?