Pre-workout Induced Demand Ischemia.

demand ischemia pre-workout supplement sinus tachycardia subclinical hypothyroidism troponinemia

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jan 2023
Historique:
accepted: 12 01 2023
entrez: 16 2 2023
pubmed: 17 2 2023
medline: 17 2 2023
Statut: epublish

Résumé

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.

Identifiants

pubmed: 36793833
doi: 10.7759/cureus.33694
pmc: PMC9925028
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e33694

Informations de copyright

Copyright © 2023, Rodriguez Guerra et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Miguel A Rodriguez Guerra (MA)

Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA.

Ana P Urena Neme (AP)

Cardiology, Medicina Cardiovascular Asociada, Santo Domingo, DOM.

Mohammed Shaban (M)

Internal Medicine, BronxCare Hospital Center, Icahn School of Medicine at Mt. Sinai, New York, USA.

Constangela Matos Noboa (C)

Cardiology, Medicina Cardiovascular Asociada, Santo Domingo, DOM.

Tiffany Trinh (T)

Emergency Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA.

Classifications MeSH