A case of unprovoked venous thromboembolism in a marathon athlete presenting atypical sequelae: What are the chances?

Abstract:

:Marathon runners are exposed to multiple thrombogenic risk factors including dehydration and hemoconcentration, injury and inflammation, long-distance travel between events, and contraceptive usage. However, despite awareness about thromboembolism and several case reports detailing life-threatening hypercoagulopathies in athletes, the prevalence of venous thromboembolism in marathon runners remains uncharted. There is a lack of data and evidence-based guidelines for these athletes and for healthcare providers, including general medical practitioners and sports physicians. We present an episode of unprovoked deep vein thrombosis (DVT) and pulmonary embolism (PE) in a female marathon athlete who presented with atypical sequelae over the course of 8 months, and identify some "easy-to-miss" warning signs and symptoms. Through dialogue with the patient regarding their personal questions and anxieties surrounding idiopathic DVT-PE, we identify a clear need for more accessible information and comprehensive research concerning the detection, prevalence, and long-term management of venous thromboembolism in athletes. We discuss the possibility that being an athlete might constitute a more significant risk factor for venous thromboembolism than is currently estimated by commonly used diagnostic protocols and conclude that there is quite possibly a need for more specific clinical guidelines for athletes in this area.

journal_name

Scand J Med Sci Sports

authors

Hull CM,Hopkins CL,Purdy NJ,Lloyd RC,Harris JA

doi

10.1111/sms.12262

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

699-705

issue

5

eissn

0905-7188

issn

1600-0838

journal_volume

25

pub_type

杂志文章
  • Calf muscle strain injuries in elite Australian Football players: A descriptive epidemiological evaluation.

    abstract:BACKGROUND:Calf muscle strain injuries (CMSI) show consistent rates of prevalence and re-injury in elite Australian Football players. An epidemiological evaluation is warranted to better understand the clinical presentation and recovery of CMSI. PURPOSE:First, to describe the epidemiology of CMSI in elite Australian F...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13552

    authors: Green B,Lin M,Schache AG,McClelland JA,Semciw AI,Rotstein A,Cook J,Pizzari T

    更新日期:2020-01-01 00:00:00

  • Elite swimmers with and without unilateral shoulder pain: mechanical hyperalgesia and active/latent muscle trigger points in neck-shoulder muscles.

    abstract::Our aim was to investigate the presence of mechanical hypersensitivity and active trigger points (TrPs) in the neck-shoulder muscles in elite swimmers with/without unilateral shoulder pain. Seventeen elite swimmers with shoulder pain; 18 swimmers without shoulder pain; and 15 elite athletes matched controls were recru...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1600-0838.2011.01331.x

    authors: Hidalgo-Lozano A,Fernández-de-las-Peñas C,Calderón-Soto C,Domingo-Camara A,Madeleine P,Arroyo-Morales M

    更新日期:2013-02-01 00:00:00

  • High leisure-time physical activity reduces the risk of long-term sickness absence.

    abstract:OBJECTIVES:This study examined the association of leisure-time physical activity (LTPA) with the risk of long-term sickness absence (LTSA). METHODS:A total of 10 427 subjects from the general working population in Denmark answered questions about physical activity habits, health and work environment in the 2010 Danish...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13629

    authors: López-Bueno R,Sundstrup E,Vinstrup J,Casajús JA,Andersen LL

    更新日期:2020-05-01 00:00:00

  • Pre-performance psychological states and performance in an elite climbing competition.

    abstract::The purpose of the present study was to assess the relationship between pre-performance psychological states and expert performance in non-traditional sport competition. Nineteen elite male sport climbers (M=24.6, SD=4.0 years of age) completed the Competitive State Anxiety Inventory-2 and the Positive and Negative Af...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/j.1600-0838.2009.00904.x

    authors: Sanchez X,Boschker MS,Llewellyn DJ

    更新日期:2010-04-01 00:00:00

  • Exercise-mediated modulation of autophagy in skeletal muscle.

    abstract::Although exercise exerts multiple beneficial health effects, it may also damage cellular structures. Damaged elements are continuously degraded and its constituents recycled to produce renovated structures through a process called autophagy, which is essential for the adaptation to training. Autophagy is particularly ...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,评审

    doi:10.1111/sms.12945

    authors: Martin-Rincon M,Morales-Alamo D,Calbet JAL

    更新日期:2018-03-01 00:00:00

  • Live and/or sleep high:train low, using normobaric hypoxia.

    abstract::The increase in oxygen transport elicited by several weeks of exposure to moderate to high altitude is used to increase physical performance when returning to sea level. However, many studies have shown that aerobic performance may not increase at sea level after a training block at high altitude. Subsequently, the co...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,评审

    doi:10.1111/j.1600-0838.2008.00830.x

    authors: Richalet JP,Gore CJ

    更新日期:2008-08-01 00:00:00

  • The reliability of fat.

    abstract::The exercise intensity eliciting maximal fat oxidation (Fat(max)) is typically determined during an incremental test. Its reproducibility, however, has not been thoroughly investigated so far. To address this issue, 21 healthy subjects (23.5+/-1.7 years; BMI 22.4+/-1.8 kg/m(2); VO(2peak) 47.4+/-11.3 mL/min/kg) carried...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/j.1600-0838.2008.00775.x

    authors: Meyer T,Folz C,Rosenberger F,Kindermann W

    更新日期:2009-04-01 00:00:00

  • Construct validity and test-retest reliability of the International Fitness Scale (IFIS) in Spanish children aged 9-12 years.

    abstract::We aimed to examine (a) the construct validity and reliability of the International Fitness Scale (IFIS) in children; and (b) the association of both self-reported and measured fitness with cardiometabolic risk. Cross-sectional study in 1145 Spanish children (9-12 years). We measured body fat, waist circumference, blo...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.12267

    authors: Sánchez-López M,Martínez-Vizcaíno V,García-Hermoso A,Jiménez-Pavón D,Ortega FB

    更新日期:2015-08-01 00:00:00

  • Technical match actions and plasma stress markers in elite female football players during an official FIFA Tournament.

    abstract::This study analyzed the impact of performing four consecutive football matches separated by 48-72 hours during a FIFA tournament on physical load, technical performance and plasma markers of redox state, muscle damage and inflammation in elite female players. Forty-eight players from three national teams were evaluate...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13878

    authors: Póvoas S,Ascensão A,Magalhães J,Silva P,Wiig H,Raastad T,Castagna C,Andersson H

    更新日期:2020-12-29 00:00:00

  • Reconstruction of anterior cruciate ligament deficient knees in soccer players with an iliotibial band autograft. A prospective study of 132 reconstructed knees followed for 4 (2-7) years.

    abstract::One hundred and thirty-two consecutive soccer players (117 males and 15 females, median age 23, range 16-39 years) underwent primary reconstruction of the anterior cruciate ligament (ACL) with an iliotibial band (ITB) autograft. All patients were followed prospectively for a minimum of 2 years. One hundred and eightee...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1034/j.1600-0838.2001.011001016.x

    authors: Bak K,Jørgensen U,Ekstrand J,Scavenius M

    更新日期:2001-02-01 00:00:00

  • Upper-body kinematics in team-handball throw, tennis serve, and volleyball spike.

    abstract::Overarm movements are essential skills in many different sport games; however, the adaptations to different sports are not well understood. The aim of the study was to analyze upper-body kinematics in the team-handball throw, tennis serve, and volleyball spike, and to calculate differences in the proximal-to-distal se...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/j.1600-0838.2012.01503.x

    authors: Wagner H,Pfusterschmied J,Tilp M,Landlinger J,von Duvillard SP,Müller E

    更新日期:2014-04-01 00:00:00

  • Factors influencing isometric exercise training-induced reductions in resting blood pressure.

    abstract::Hypertension is a major health concern, and current recommendations for blood pressure management (lifestyle modifications and pharmacological intervention) have not been universally successful. For two decades, isometric exercise training (IET) has become established as effective at reducing in resting BP (RBP) in a ...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,评审

    doi:10.1111/sms.12225

    authors: Lawrence MM,Cooley ID,Huet YM,Arthur ST,Howden R

    更新日期:2015-04-01 00:00:00

  • Exercise-based cardiac rehabilitation is associated with a normalization of the heart rate performance curve deflection.

    abstract::The heart rate (HR) rises with increased power output, whereby in most healthy individuals, the slope of HR levels off with higher intensity. This corresponds to a downward deflection of the heart rate performance curve (HRPC). Conversely, in patients after myocardial infarction, an upward HRPC deflection is frequentl...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13462

    authors: Heber S,Sallaberger-Lehner M,Hausharter M,Volf I,Ocenasek H,Gabriel H,Pokan R

    更新日期:2019-09-01 00:00:00

  • Meniscal substitutes--animal experience.

    abstract::Animal studies have shown that meniscus allografts and tendon autografts generally heal to the capsule, are revascularized and repopulated with host cells. In animals, neither meniscal allografts nor tendon or fat autografts gain the properties of a normal meniscus. Meniscus allografts and tendon autografts are promis...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,评审

    doi:10.1111/j.1600-0838.1999.tb00444.x

    authors: Kohn D,Verdonk R,Aagaard H,Seil R,Dienst M

    更新日期:1999-06-01 00:00:00

  • Physical exercise and musculoskeletal pain among forest industry workers.

    abstract::The study investigated the relations between physical exercise and musculoskeletal pain among forest industry workers. We studied a population of 3312 Finnish forest industry workers, who replied to a questionnaire survey in 1994 (response rate 77%). The outcome variables in this cross-sectional study were the number ...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1034/j.1600-0838.2001.110408.x

    authors: Miranda H,Viikari-Juntura E,Martikainen R,Takala EP,Riihimäki H

    更新日期:2001-08-01 00:00:00

  • Gender differences in gait kinematics in runners with iliotibial band syndrome.

    abstract::Atypical running gait biomechanics are considered a primary factor in the etiology of iliotibial band syndrome (ITBS). However, a general consensus on the underpinning kinematic differences between runners with and without ITBS is yet to be reached. This lack of consensus may be due in part to three issues: gender dif...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.12394

    authors: Phinyomark A,Osis S,Hettinga BA,Leigh R,Ferber R

    更新日期:2015-12-01 00:00:00

  • The role of prediagnostic data in injury epidemiology in preprofessional dancers.

    abstract:INTRODUCTION:preprofessional dance training starts at very early ages, on a highly demanding environment placing students at significant risk for injury. Injury management and prevention are a matter of concern. Given the constant interchangeability of risk factors, identifying injury patterns may prove to be equally a...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13382

    authors: Moita JP,Gomes A,Xarez L,Coelho C

    更新日期:2019-04-01 00:00:00

  • Effect of exergames on musculoskeletal pain: A systematic review and meta-analysis.

    abstract::The main objective was to systematically review the scientific literature about the effects of exergame-based interventions on musculoskeletal pain, as well as to provide directions for the clinical practice. A systematic search was conducted in four electronic databases following PRISMA guidelines. The inclusion crit...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/sms.12899

    authors: Collado-Mateo D,Merellano-Navarro E,Olivares PR,García-Rubio J,Gusi N

    更新日期:2018-03-01 00:00:00

  • Strength at the extracellular matrix-muscle interface.

    abstract::Mechanical force is generated within skeletal muscle cells by contraction of specialized myofibrillar proteins. This paper explores how the contractile force generated at the sarcomeres within an individual muscle fiber is transferred through the connective tissue to move the bones. The initial key point for transfer ...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,评审

    doi:10.1111/j.1600-0838.2005.00467.x

    authors: Grounds MD,Sorokin L,White J

    更新日期:2005-12-01 00:00:00

  • Relation between myofibers and connective tissue during muscle injury repair.

    abstract::The connective tissue framework in skeletal muscle combines the contractile myofibers into a functional unit, in which the contraction of myofibers is transformed into movement via myotendinous junctions (MTJs) at their ends, where myofibers attach to tendons/fascia. The cytoskeletal contractile myofilament apparatus ...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,评审

    doi:10.1034/j.1600-0838.2000.010006332.x

    authors: Kääriäinen M,Järvinen T,Järvinen M,Rantanen J,Kalimo H

    更新日期:2000-12-01 00:00:00

  • An experiment on the impact of coaches' and athlete leaders' competence support on athletes' motivation and performance.

    abstract:PURPOSE:Grounded in the Cognitive Evaluation Theory, the present experiment aimed to compare the relative impact of competence support provided by coaches versus athlete leaders on players' competence satisfaction, intrinsic motivation, and performance. METHODS:We recruited 18 existing competitive male basketball team...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13273

    authors: Mertens N,Boen F,Vande Broek G,Vansteenkiste M,Fransen K

    更新日期:2018-12-01 00:00:00

  • Effect of overreaching on cognitive performance and related cardiac autonomic control.

    abstract::The purpose of this study was to characterize the effect of a 2-week overload period immediately followed by a 1-week taper period on different cognitive processes including executive and nonexecutive functions, and related heart rate variability. Eleven male endurance athletes increased their usual training volume by...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/j.1600-0838.2012.01465.x

    authors: Dupuy O,Lussier M,Fraser S,Bherer L,Audiffren M,Bosquet L

    更新日期:2014-02-01 00:00:00

  • Population density and proximity to junior developmental teams affect the development of National Hockey League draftees.

    abstract::Inconsistencies in community size effects found between and within countries (Baker et al Eur J Sport Sci. 2009;9:329-339; Bruner et al J Sports Sci. 2011;29:1337-1344; Wattie et al J Sports Sci. 2018;36:436-444) suggest population size may not be an accurate predictor of athlete development and that other proxies of ...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13247

    authors: Farah L,Schorer J,Baker J,Wattie N

    更新日期:2018-11-01 00:00:00

  • Diving reflex: can the time course of heart rate reduction be quantified?

    abstract::In this meta-analysis of diving bradycardia in humans, we sought to quantify any heart rate (HR) reduction using a relatively simple mathematical function. Using the terms "diving reflex,"diving bradycardia,"diving response,"diving plus heart rate," databases were searched. Data from the studies were fitted using HR=c...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,meta分析

    doi:10.1111/j.1600-0838.2010.01246.x

    authors: Caspers C,Cleveland S,Schipke JD

    更新日期:2011-02-01 00:00:00

  • Unstable rocker shoes promote recovery from marathon-induced muscle damage in novice runners.

    abstract::We recently reported that wearing unstable rocker shoes (Masai Barefoot Technology: MBT) may enhance recovery from marathon race-induced fatigue. However, this earlier study only utilized a questionnaire. In this study, we evaluated MBT utilizing objective physiological measures of recovery from marathon-induced muscl...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.12911

    authors: Nakagawa K,Inami T,Yonezu T,Kenmotsu Y,Narita T,Kawakami Y,Kanosue K

    更新日期:2018-02-01 00:00:00

  • Sexual harassment and eating disorders in female elite athletes - a controlled study.

    abstract::The aims were to examine the percentage of female elite athletes and controls reporting sexual harassment and abuse (SHAB), and whether a higher percentage of female athletes with eating disorders (ED) had experienced SHAB. A questionnaire was administered to the total population of female elite athletes (n = 660) and...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1600-0838.2003.00295.x

    authors: Sundgot-Borgen J,Fasting K,Brackenridge C,Torstveit MK,Berglund B

    更新日期:2003-10-01 00:00:00

  • Effect of high-intensity resistance circuit-based training in hypoxia on aerobic performance and repeat sprint ability.

    abstract::Recent acute studies have shown that high-intensity resistance circuit-based (HRC) training in hypoxia increases metabolic stress. However, no intervention studies have yet proven their effectiveness. This study aimed to analyze the effect of 8 weeks of HRC in hypoxia on aerobic performance, resting energy expenditure...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/sms.13223

    authors: Ramos-Campo DJ,Martínez-Guardado I,Olcina G,Marín-Pagán C,Martínez-Noguera FJ,Carlos-Vivas J,Alcaraz PE,Rubio JÁ

    更新日期:2018-10-01 00:00:00

  • Indexes of aortic wave reflection are not augmented in estrogen-deficient physically active premenopausal women.

    abstract:BACKGROUND:Hypoestrogenemia due to menopause is associated with increased cardiovascular disease risk, in part due to elevated indexes of aortic wave reflection (AWRI) and central (aortic) blood pressure. We sought to investigate whether AWRI and central blood pressure are also augmented in hypoestrogenic exercise-trai...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13647

    authors: O'Donnell E,Goodman JM,Floras JS,Harvey PJ

    更新日期:2020-06-01 00:00:00

  • Validity and reliability of measurements of aponeurosis dimensions from magnetic resonance images.

    abstract::Muscle performance is closely related to the structure and function of tendons and aponeuroses, the sheet-like, intramuscular parts of tendons. The architecture of aponeuroses has been difficult to study with magnetic resonance imaging (MRI) because these thin, collagen-rich connective tissues have very short transver...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章

    doi:10.1111/sms.13407

    authors: Bird L,D'Souza A,Ball I,Rae C,Herbert RD,Bolsterlee B

    更新日期:2019-06-01 00:00:00

  • Glucose response to exercise in the post-prandial period is independent of exercise intensity.

    abstract::This study investigated the acute glucose response to low-intensity, moderate-intensity, and high-intensity interval exercise compared to no-exercise in healthy insufficiently active males using a four-arm, randomized, crossover design. Ten males (age: 37.3 ± 7.3 years, BMI: 29.3 ± 6.5 kg·m-2 ) completed four 30-minut...

    journal_title:Scandinavian journal of medicine & science in sports

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/sms.12999

    authors: Shambrook P,Kingsley MI,Wundersitz DW,Xanthos PD,Wyckelsma VL,Gordon BA

    更新日期:2018-03-01 00:00:00