A 20-year-old marathon runner is seen by his physician for a fitness check prior to a race. On examination, his pulse is 50 beats per minute, blood pressure is 110/70 mmHg, respiratory rate is 12 breaths per minute. On cardiac auscultation, a low-pitched sound is heard in early diastole. Which of the following is the most likely interpretation of these clinical findings? Answers A - E A Hypotension B Valvular heart disease C Cardiomegaly D Normal findings E Pericarditis O O

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