| Syncope and atypical chest pain in an intercollegiate wrestler: a case report. | |
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MedLine Citation:
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PMID: 16558574 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To present the case of a 20-year-old collegiate wrestler who suffered from atypical chest pains and syncope after rigorous exercise, dehydration, and ingestion of a metabolic stimulant. BACKGROUND: As a result of pressure to obtain a lower body weight for competition, wrestlers often pursue practices to lose a substantial amount of weight in a short period of time. These practices include rigorous exercise, starvation, dehydration, laxatives, diuretics, and over-the-counter stimulants. Our case involves an athlete who ingested a metabolic stimulant containing ma huang (ephedrine) and suffered from syncope and atypical chest pains during a bout of rigorous exercise and dehydration to lose weight for competition. DIFFERENTIAL DIAGNOSIS: Hypertrophic cardiomyopathy, electrolyte imbalance, drug overdose, traumatic head injury, myocardial infarction, syncope. TREATMENT: The emergency medical services transported the athlete to the emergency room, and he was hospitalized for 2 days. After discharge, the team physician counseled the athlete in the dangers of metabolic stimulants and excessive weight-loss techniques. UNIQUENESS: This case is unique because it presents an athlete who ingested an over-the-counter stimulant to lose weight and suffered from syncope and atypical chest pains during a bout of rigorous exercise and dehydration. CONCLUSIONS: Athletic trainers must understand not only the dangers of excessive weight loss, but also the dangers of using unregulated ephedrine-containing stimulants to aid in weight loss. |
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Authors:
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J B Myers; K M Guskiewicz; B L Riemann |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of athletic training Volume: 34 ISSN: 1062-6050 ISO Abbreviation: J Athl Train Publication Date: 1999 Jul |
Date Detail:
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Created Date: 2010-06-29 Completed Date: 2010-06-29 Revised Date: 2011-08-25 |
Medline Journal Info:
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Nlm Unique ID: 9301647 Medline TA: J Athl Train Country: United States |
Other Details:
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Languages: eng Pagination: 263-6 Citation Subset: - |
Affiliation:
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University of North Carolina at Chapel Hill, Chapel Hill, NC. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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