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

Authors Smereck J, Papafilippaki A, Sudarshan S

Received 4 June 2016

Accepted for publication 9 August 2016

Published 22 September 2016 Volume 2016:8 Pages 73—76


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Hans-Christoph Pape

Janet A Smereck,1 Argyro Papafilippaki,2 Sawali Sudarshan3

1Department of Emergency Medicine, MedStar Georgetown University Hospital, Washington, DC, 2Pennsylvania Hospital, Philadelphia, PA,3Emergency Department, Washington Adventist Hospital, Takoma Park, MD, USA

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.

Keywords: chest pain, coronary artery disease, lipoprotein (a)

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