شاب عمره ٢٢ سنة بعد زكام بأسبوعين صار عنده ألم صدري وخفقان وتعب، والتروبونين مرتفع، والقسطرة سليمة. ما أهم نصيحة عند الخروج؟

Two weeks after a cold, a 22-year-old has chest pain, palpitations and fatigue, a raised troponin and normal coronaries. What is the most important discharge advice?

1. Avoid strenuous exercise for months, as advised
2. No follow-up is needed because the angiogram was normal
3. Take an extra month of oral antibiotics
4. Return to football training from next week onwards

Answer: A) Avoid strenuous exercise for months, as advised. This suggests viral myocarditis. Strenuous effort in this period can trigger dangerous arrhythmias or sudden death, so it is usually avoided for 3–6 months with cardiology follow-up.