16-Year-old with premature ventricular contractions noted during athletic participation physical

Case

Thanks for taking my call. I have this 16-year old adolescent male that I have been following for years who now presents for his athletic participation physical. As I am listening to his heart I am noting some skipped beats at rest. I don’t recall ever hearing this before and I have nothing documented in his chart. He is completely asymptomatic and wants to play basketball this year and is trying out for the varsity team in a few weeks. He has been practicing regularly and has not had any symptoms. I think he should be fine but I’m a little nervous about clearing him with these extra beats. My plan is to send him for an ECG but I’m wondering if you would suggest anything else?