شاب عمره ٢٤ سنة، لاعب كرة قدم، دخل بالتهاب في عضلة القلب بعد عدوى فيروسية، وتحسن بعد أسبوع من العلاج. قبل الخروج نبضه ٨٤ وضغطه ١١٨/٧٢، ووظيفة القلب تحسنت لكن لم ترجع طبيعية كاملة. يسأل متى يرجع للملعب. أي تعليمات صحيحة؟

A 24-year-old footballer was admitted with viral myocarditis and improved after a week of treatment. At discharge HR 84, BP 118/72; heart function has improved but not fully normalised. He asks when he can return to play. Which instructions are correct?

1. Avoid all vaccines for life after myocarditis
2. Return to intense exercise as soon as he is home
3. No follow-up is needed after discharge
4. Gradual activity as tolerated; no competitive sport for a time

Answer: D) Gradual activity as tolerated; no competitive sport for a time. Early strenuous exercise after myocarditis raises the risk of arrhythmias and sudden death, so activity is increased gradually with follow-up.