A 19-Year-Old Female Athlete With WPW Electrocardiogram
A 19-year-old Caucasian female cross-country runner with no significant past medical history presents to a cardiology office for an evaluation as part of a routine screening program for varsity athletes at her university. This includes a 12-lead electrocardiogram (ECG) and a screening two-dimensional (2-D) echocardiogram.
On presentation, her only subjective complaint includes mild, non-exercise-limiting dyspnea with heavy exertion, and otherwise denies any chest pain, palpitations, dizziness, or syncope. She denies any drug or alcohol use. She has no family history of premature coronary disease, arrhythmias, heart failure, or sudden cardiac death. Her vitals and physical exam are unremarkable.
Figure 1 demonstrates an electrocardiogram (ECG) completed two months prior in her primary care physician's office. Figure 2 shows her in-office ECG that is completed as part of the screening program. Her screening 2-D echocardiogram is normal.
Which of the following describes the most appropriate next step?