Which patient is at the highest risk for sudden cardiac death and might need an EKG before sports?

The patient at the highest risk for sudden cardiac death, who might need an EKG before participating in sports, is the 17-year-old Caribbean male with no medical history signed up for track. While it can be easy to overlook the absence of a medical history as a risk factor, certain demographic factors can influence this risk.

Young athletes, particularly males, are at a higher risk for certain cardiac conditions that can lead to sudden cardiac death. Among these conditions, hypertrophic cardiomyopathy is the most common cause, and it may not present with any prior medical history. Sports that involve high levels of exertion, such as track, can further exacerbate underlying cardiovascular issues.

The other patients mentioned may have factors that could potentially increase their risk, such as a history of ADHD and medication use, or depression, both of which require careful monitoring. However, the absence of significant prior medical history in a young male athlete who is likely to undergo intense physical activity positions him as the highest risk in this context.

In conclusion, the young Caribbean male’s situation highlights the importance of proactive cardiac screening prior to participation in sports, ensuring that any undiagnosed conditions can be identified and managed appropriately.