Document Detail


Syncope and atypical chest pain in an intercollegiate wrestler: a case report.
MedLine Citation:
PMID:  16558574     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J B Myers; K M Guskiewicz; B L Riemann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of athletic training     Volume:  34     ISSN:  1062-6050     ISO Abbreviation:  J Athl Train     Publication Date:  1999 Jul 
Date Detail:
Created Date:  2010-06-29     Completed Date:  2010-06-29     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  9301647     Medline TA:  J Athl Train     Country:  United States    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  -    
Affiliation:
University of North Carolina at Chapel Hill, Chapel Hill, NC.
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