Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity
Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon race held...
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| Format: | Article |
| Language: | English |
| Published: |
Nofer Institute of Occupational Medicine
2020-06-01
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| Series: | International Journal of Occupational Medicine and Environmental Health |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/ijomeh/CHEST-PAIN-IN-AN-ELITE-MASTER-ULTRA-MARATHONER-A-CASE-REPORT-WITH-A-FOLLOW-UP-ON,119231,0,2.html |
| _version_ | 1811299175409647616 |
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| author | Ewa Sadowska-Krępa Barbara Kłapcińska Dagmara Gerasimuk Adam Rzetecki Zbigniew Waśkiewicz Zbigniew Gąsior Aleksandra Żebrowska Thomas Rosemann Pantelis T. Nikolaidis Beat Knechtle |
| author_facet | Ewa Sadowska-Krępa Barbara Kłapcińska Dagmara Gerasimuk Adam Rzetecki Zbigniew Waśkiewicz Zbigniew Gąsior Aleksandra Żebrowska Thomas Rosemann Pantelis T. Nikolaidis Beat Knechtle |
| author_sort | Ewa Sadowska-Krępa |
| collection | DOAJ |
| description | Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents
a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon
race held in 2010, but dropped out of the competition due to acute cardiac problems manifested after 16 h of running and having completed a distance
of 129 km. Two weeks following the race, intense cardiac examination was performed to explain the drop-out due to chest pain. A 12‑lead electrocardiogram,
a 2D transthoracic echocardiography in 3 apical projections of the left ventricle, a computed tomography of the chest, an invasive coronary
angiography and a maximal oxygen uptake (VO 2max ) test were performed. The 12-lead ECG revealed a negative T wave in III and aVF without morphological
abnormalities. The echocardiographic examinations presented a normal size and function of the heart chambers, and a normal valvar structure
and function (only trivial mitral and tricuspid regurgitation was observed). The invasive coronary arteriography – due to an increased calcium score in
the CT scan – showed only a non-significant systolic dynamic narrowing in the eighth segment of the left anterior descending artery due to a muscle
bridge. The physical performance characteristics of the athlete and a follow-up history of his athletic activity showed that the cardiac problems he had
experienced during the ultra-marathon race did not prevent him from being active in sport. Int J Occup Med Environ Health. 2020;33(4):523–34 |
| first_indexed | 2024-04-13T06:32:16Z |
| format | Article |
| id | doaj.art-c57ec74b391f49c2ada514342db597be |
| institution | Directory Open Access Journal |
| issn | 1232-1087 1896-494X |
| language | English |
| last_indexed | 2024-04-13T06:32:16Z |
| publishDate | 2020-06-01 |
| publisher | Nofer Institute of Occupational Medicine |
| record_format | Article |
| series | International Journal of Occupational Medicine and Environmental Health |
| spelling | doaj.art-c57ec74b391f49c2ada514342db597be2022-12-22T02:58:06ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2020-06-0133452353410.13075/ijomeh.1896.01535119231Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activityEwa Sadowska-Krępa0Barbara Kłapcińska1Dagmara Gerasimuk2Adam Rzetecki3Zbigniew Waśkiewicz4Zbigniew Gąsior5Aleksandra Żebrowska6Thomas Rosemann7Pantelis T. Nikolaidis8Beat Knechtle9Jerzy Kukuczka Academy of Physical Education, Katowice, Poland (Institute of Sport Sciences)Jerzy Kukuczka Academy of Physical Education, Katowice, Poland (Institute of Sport Sciences)Jerzy Kukuczka Academy of Physical Education, Katowice, Poland (Department of Sports Training)Jerzy Kukuczka Academy of Physical Education, Katowice, Poland (Institute of Sport Sciences)Jerzy Kukuczka Academy of Physical Education, Katowice, Poland (Institute of Sport Sciences)Medical University of Silesia, Katowice, Poland (Department of Cardiology, School of Health Science)Jerzy Kukuczka Academy of Physical Education, Katowice, Poland (Institute of Sport Sciences)University of Zurich, Zurich, Switzerland (Institute of Primary Care)Exercise Physiology Laboratory, Nikaia, GreeceUniversity of Zurich, Zurich, Switzerland (Institute of Primary Care)Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon race held in 2010, but dropped out of the competition due to acute cardiac problems manifested after 16 h of running and having completed a distance of 129 km. Two weeks following the race, intense cardiac examination was performed to explain the drop-out due to chest pain. A 12‑lead electrocardiogram, a 2D transthoracic echocardiography in 3 apical projections of the left ventricle, a computed tomography of the chest, an invasive coronary angiography and a maximal oxygen uptake (VO 2max ) test were performed. The 12-lead ECG revealed a negative T wave in III and aVF without morphological abnormalities. The echocardiographic examinations presented a normal size and function of the heart chambers, and a normal valvar structure and function (only trivial mitral and tricuspid regurgitation was observed). The invasive coronary arteriography – due to an increased calcium score in the CT scan – showed only a non-significant systolic dynamic narrowing in the eighth segment of the left anterior descending artery due to a muscle bridge. The physical performance characteristics of the athlete and a follow-up history of his athletic activity showed that the cardiac problems he had experienced during the ultra-marathon race did not prevent him from being active in sport. Int J Occup Med Environ Health. 2020;33(4):523–34http://www.journalssystem.com/ijomeh/CHEST-PAIN-IN-AN-ELITE-MASTER-ULTRA-MARATHONER-A-CASE-REPORT-WITH-A-FOLLOW-UP-ON,119231,0,2.htmlrunningdrop-outhealth outcomesmetabolic changesultra-marathon racephysical ability |
| spellingShingle | Ewa Sadowska-Krępa Barbara Kłapcińska Dagmara Gerasimuk Adam Rzetecki Zbigniew Waśkiewicz Zbigniew Gąsior Aleksandra Żebrowska Thomas Rosemann Pantelis T. Nikolaidis Beat Knechtle Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity International Journal of Occupational Medicine and Environmental Health running drop-out health outcomes metabolic changes ultra-marathon race physical ability |
| title | Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity |
| title_full | Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity |
| title_fullStr | Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity |
| title_full_unstemmed | Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity |
| title_short | Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity |
| title_sort | chest pain in an elite master ultra marathon runner a case report with a follow up on his subsequent athletic activity |
| topic | running drop-out health outcomes metabolic changes ultra-marathon race physical ability |
| url | http://www.journalssystem.com/ijomeh/CHEST-PAIN-IN-AN-ELITE-MASTER-ULTRA-MARATHONER-A-CASE-REPORT-WITH-A-FOLLOW-UP-ON,119231,0,2.html |
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