| Exercise-associated collapse: an evidence-based review and primer for clinicians. | |
| | |
MedLine Citation:
|
PMID: 21948122 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Exercise-associated collapse (EAC) commonly occurs after the completion of endurance running events. EAC is a collapse in conscious athletes who are unable to stand or walk unaided as a result of light headedness, faintness and dizziness or syncope causing a collapse that occurs after completion of an exertional event. Although EAC is perhaps the most common aetiology confronted by the medical provider attending to collapsed athletes in a finish-line tent, providers must first maintain vigilance for other potential life-threatening aetiologies that cause collapse, such as cardiac arrest, exertional heat stroke or exercise-associated hyponatraemia. Previously, it has been believed that dehydration and hyperthermia were primary causes of EAC. On review of the evidence, EAC is now believed to be principally the result of transient postural hypotension caused by lower extremity pooling of blood once the athlete stops running and the resultant impairment of cardiac baroreflexes. Once life-threatening aetiologies are ruled out, treatment of EAC is symptomatic and involves oral hydration and a Trendelenburg position - total body cooling, intravenous hydration or advanced therapies is generally not needed. |
| | |
Authors:
|
Chad A Asplund; Francis G O'Connor; Timothy D Noakes |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-9-26 |
Journal Detail:
|
Title: British journal of sports medicine Volume: - ISSN: 1473-0480 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-9-27 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0432520 Medline TA: Br J Sports Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Family Medicine, Eisenhower Army Medical Center, Fort Gordon, Georgia, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Perceived barriers and facilitators to physical activity for children with disability: a systematic ...
Next Document: Responsibility of sport and exercise medicine in preventing and managing chronic disease: applying o...