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Acute chest pain after bench press exercise in a healthy young adult

View Article: PubMed Central - PubMed

ABSTRACT

Bench press exercise, which involves repetitive lifting of weights to full arm extension while lying supine on a narrow bench, has been associated with complications ranging in acuity from simple pectoral muscle strain, to aortic and coronary artery dissection. A 39-year-old man, physically fit and previously asymptomatic, presented with acute chest pain following bench press exercise. Diagnostic evaluation led to the discovery of critical multivessel coronary occlusive disease, and subsequently, highly elevated levels of lipoprotein (a). Judicious use of ancillary testing may identify the presence of “high-risk” conditions in a seemingly “low-risk” patient. Emergency department evaluation of the young adult with acute chest pain must take into consideration an extended spectrum of potential etiologies, so as to best guide appropriate management.

No MeSH data available.


Related in: MedlinePlus

Electrocardiogram showing normal sinus rhythm and occasional premature ventricular complexes, right bundle branch block, and ST-segment depressions of 0.5–1 mm in leads V4–V6.
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f1-oaem-8-073: Electrocardiogram showing normal sinus rhythm and occasional premature ventricular complexes, right bundle branch block, and ST-segment depressions of 0.5–1 mm in leads V4–V6.

Mentions: Electrocardiogram (ECG) on presentation revealed normal sinus rhythm with occasional premature ventricular contractions, right bundle branch block, and subtle ST-segment depressions in lateral leads (Figure 1). There were no prior ECGs available for comparison.


Acute chest pain after bench press exercise in a healthy young adult
Electrocardiogram showing normal sinus rhythm and occasional premature ventricular complexes, right bundle branch block, and ST-segment depressions of 0.5–1 mm in leads V4–V6.
© Copyright Policy
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5036768&req=5

f1-oaem-8-073: Electrocardiogram showing normal sinus rhythm and occasional premature ventricular complexes, right bundle branch block, and ST-segment depressions of 0.5–1 mm in leads V4–V6.
Mentions: Electrocardiogram (ECG) on presentation revealed normal sinus rhythm with occasional premature ventricular contractions, right bundle branch block, and subtle ST-segment depressions in lateral leads (Figure 1). There were no prior ECGs available for comparison.

View Article: PubMed Central - PubMed

ABSTRACT

Bench press exercise, which involves repetitive lifting of weights to full arm extension while lying supine on a narrow bench, has been associated with complications ranging in acuity from simple pectoral muscle strain, to aortic and coronary artery dissection. A 39-year-old man, physically fit and previously asymptomatic, presented with acute chest pain following bench press exercise. Diagnostic evaluation led to the discovery of critical multivessel coronary occlusive disease, and subsequently, highly elevated levels of lipoprotein (a). Judicious use of ancillary testing may identify the presence of “high-risk” conditions in a seemingly “low-risk” patient. Emergency department evaluation of the young adult with acute chest pain must take into consideration an extended spectrum of potential etiologies, so as to best guide appropriate management.

No MeSH data available.


Related in: MedlinePlus