Lacunar stroke in a hypertensive football player: implications in managing hypertension in athletes
Deutscher übersetzter Titel: | Lakunaerer Infarkt bei einem Footballspieler mit Hypertonie: Folgerungen fuer den Umgang mit Hypertonie bei Sportlern |
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Autor: | Mann, S.J.; Callaway, H.; Barnes, R.P.; Warren, R. |
Erschienen in: | Clinical journal of sport medicine |
Veröffentlicht: | 7 (1997), 1, S. 69-72, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1050-642X, 1536-3724 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199801209052 |
Quelle: | BISp |
Abstract des Autors
Purpose: A 28-year-old hypertensive professional football player suffered a lacunar stroke. Given the rarity of stroke at this young age, the contributory roles of hypertension and competitive athletics merit consideration. Case summary: A 28-year-old defensive lineman, with long-standing, albeit recently well-controlled hypertension, experienced slurred speech and veering to his right after a game. Computerized tomography revealed a small internal capsule infarct. Diagnostic investigation, including coagulation profiling, sickle screen, antiphospholipid antibody, carotid imaging, and echocardiography did not reveal a cause. The patient recovered within days with no residual impairment. Discussion: Despite the extreme blood pressure elevation associated with isometric straining in young athletes, stroke almost never occurs. Vascular changes resulting from chronic hypertension and/or marked volume depletion, and hemoconcentration resulting from restricted salt intake, diuretic use, and heavy sweating, offer the only explanations for this stroke. Relevance: The case suggests physicians should exercise caution in using diuretics and salt-restricted diets to treat hypertensive athletes. Guidelines for treatment are discussed. Verf.-Referat