Q. A 14-year-old male patient presents to the clinic with his father for a high school physical. He is an aspiring athlete and would like to try out for track team during his freshman year. The patient describes that in preparation for his try out, he has been running laps around his neighborhood. He states that he experiences shortness of breath and has to slow down. The patient expresses frustration because slowing down in order to catch his breath has increased the time he takes to complete a mile. He has no past medical history and is not taking any medications. The patient’s family history includes hypertension in his father and diabetes in his mother. His blood pressure is 145/90 mmHg and heart rate 90/min. A 4th heart sound is audible on auscultation. An echocardiogram shows a septum that measures 1.5 cm (normal range: 0.6-1.1 cm). What should you advise this patient?