Asymptomatic 19-Year-Old Division I Tennis Player with an Abnormal Screening ECG
A 19-year-old male asymptomatic NCAA Division I tennis player presents to your clinic as a referral for an abnormal pre-participation screening ECG (Figure 1). The patient denies any history of chest pain, palpitations, syncope, or shortness of breath. The patient has never had problems keeping up with workouts, and generally considers himself one of the more fit players on the tennis team. He denies any family history of heart disease or sudden cardiac death. His exam is notable for a soft I/VI mid systolic murmur over the pulmonic area and a fixed-split S2. Based on these findings an echo is performed (Figure 2; Video 1, 2, 3, and 4).
Which of the following statements is true regarding further management in this patient's case?