University of North Carolina at Chapel Hill, Chapel Hill, NC.
J Athl Train. 1999 Jul;34(3):263-6.
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.
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.
Hypertrophic cardiomyopathy, electrolyte imbalance, drug overdose, traumatic head injury, myocardial infarction, syncope.
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.
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.
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.
介绍一名 20 岁大学生摔跤运动员的病例，该运动员在剧烈运动、脱水和摄入代谢兴奋剂后出现非典型胸痛和晕厥。
由于为了获得比赛的较低体重，摔跤运动员经常采取实践来在短时间内大量减重。这些实践包括剧烈运动、饥饿、脱水、泻药、利尿剂和非处方兴奋剂。我们的病例涉及一名运动员，他摄入了含有麻黄（麻黄碱）的代谢兴奋剂，在一场剧烈运动和脱水以减轻体重参加比赛的过程中出现晕厥和非典型胸痛。
肥厚型心肌病、电解质失衡、药物过量、创伤性头部损伤、心肌梗死、晕厥。
紧急医疗服务将运动员送往急诊室，他住院 2 天。出院后，队医向运动员说明了代谢兴奋剂和过度减重技术的危险。
这个病例是独特的，因为它展示了一名运动员摄入了一种非处方兴奋剂来减轻体重，在一场剧烈运动和脱水的过程中出现晕厥和非典型胸痛。
运动训练员不仅必须了解过度减重的危险，还必须了解使用不受监管的含麻黄碱兴奋剂来帮助减重的危险。
