Analyze the following case studies and apply the ACSM Preparticipation Screening Algorithm to determine if they should seek medical clearance and describe your rationale for your decision.

A 50 year old non smoking male was recently invited by colleagues to participate in a 10-km trail run. He reports currently walking 40 min on Monday, Wednesday, and Friday- something he has done “for years”. His goal is to run the entire race without stopping, and he is seeking training services. He reports having what he describes as a “mild heart attack” at 45 yr old, completed cardiac rehabilitation, and has had no problem since. He takes a statin, an angiotensin- converting enzyme (ACE) inhibitor and aspirin daily. During the last visit with his cardiologist, which took place 2 yr ago, the cardiologist noted no changes in his medical condition.