Pre-workout Induced Demand Ischemia.

Autor: Rodriguez Guerra MA; Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA., Urena Neme AP; Cardiology, Medicina Cardiovascular Asociada, Santo Domingo, DOM., Shaban M; Internal Medicine, BronxCare Hospital Center, Icahn School of Medicine at Mt. Sinai, New York, USA., Matos Noboa C; Cardiology, Medicina Cardiovascular Asociada, Santo Domingo, DOM., Trinh T; Emergency Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Jan 12; Vol. 15 (1), pp. e33694. Date of Electronic Publication: 2023 Jan 12 (Print Publication: 2023).
DOI: 10.7759/cureus.33694
Abstrakt: Pre-workout supplement use has increased in recent years. Multiple side effects and off-labeled substances have been reported. We report a case of a 35-year-old patient who recently started a pre-workout and was found to have sinus tachycardia, elevated troponin, and subclinical hyperthyroidism. The echocardiogram showed normal ejection fraction and no wall motion abnormality. Beta-blockade therapy with propranolol was offered, but she refused, and her symptoms and troponin levels improved after proper hydration within 36 hours. A cautious and accurate assessment of young, fitness-enthusiastic patients experiencing unusual chest pain is essential to identify a reversible cardiac injury and possible off-label substances in over-the-counter supplements.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Rodriguez Guerra et al.)
Databáze: MEDLINE