Department of Family Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1097, USA.
Clin J Sport Med. 2013 Sep;23(5):403-5. doi: 10.1097/JSM.0b013e3182914f86.
A collegiate football athlete presented to his athletic trainer with acute chest pain during practice. Subsequent workup revealed that the patient was in the hyperthyroid state of subacute thyroiditis. There are no published case reports or existing guidelines to guide clinicians on making the decision of when it is safe to return to play after hyperthyroid crisis. Return to play in cases of subacute thyroiditis should include resolution of symptoms, trending of thyroid function tests to euthyroid state, consideration of cardiovascular factors, and a graded return to play.
一名大学生橄榄球运动员在训练时出现急性胸痛，前往运动训练师处就诊。进一步的检查显示，该患者处于亚急性甲状腺炎的甲状腺功能亢进状态。目前尚无关于指导临床医生做出决策的已发表病例报告或现有指南，即何时可以在甲状腺功能亢进危象后安全回归赛场。亚急性甲状腺炎患者回归赛场的标准应包括症状缓解、甲状腺功能检测向甲状腺功能正常状态转变、考虑心血管因素以及逐渐恢复比赛。
