Counsel the family of an athlete disqualified from competitive sport for hypertrophic cardiomyopathy — OSCE

Candidate brief (5 minutes to read)

You are the paediatric registrar in the cardiology clinic. The 16-year-old elite school rugby player, his parents, and his coach are in the room. An echocardiogram performed after exertional chest pain during a match has confirmed hypertrophic cardiomyopathy. The athlete wants to keep playing; the parents are frightened he will die suddenly; the coach is pressuring for a clearance for the finals. In eight minutes, counsel the family: explain the diagnosis and the competitive sport disqualification and its rationale, what activity remains possible, the surveillance and treatment plan, the family screening, and the psychosocial support. ^{[3] [12]}