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Deep vein thrombosis in a well-trained masters cyclist, is popliteal vein entrapment syndrome to blame?

Citation

Kean, J and Pearton, A and Fell, JW and Adams, MJ and Kitic, CM and Wu, SSX and Stone, S and Zadow, EK, Deep vein thrombosis in a well-trained masters cyclist, is popliteal vein entrapment syndrome to blame?, Journal of Thrombosis and Thrombolysis, 47, (2) pp. 301-304. ISSN 0929-5305 (2018) [Refereed Article]


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Copyright Statement

Copyright 2018 Springer Science+Business Media, LLC, part of Springer Nature. This is a post-peer-review, pre-copyedit version of an article published in Journal of Thrombosis and Thrombolysis. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11239-018-1796-x

DOI: doi:10.1007/s11239-018-1796-x

Abstract

Whilst athletes are the epitome of health, venous thromboembolisms (VTE) including deep vein thrombosis and pulmonary embolism have been demonstrated to occur in well-trained athletes. VTE is frequently misdiagnosed and poorly treated within this population, often resulting in career or life-threatening ramifications. Furthermore, VTE risk rises with increasing age (> 40 years), potentially affecting masters athletes. A 44-year-old well-trained male cyclist volunteered to participate in a research project investigating the influence of exercise on haemostasis in well-trained athletes. The cyclist presented with elevated d-Dimer levels both pre- (2251 ng/mL) and post-exercise (2653 ng/mL). The cyclist reported constant mild-pain in the left mid-calf region, with a cold tingling sensation in their left foot. Diagnosis of DVT was confirmed via a DVT squeeze test and Doppler ultrasound, with the clot located in the left popliteal vein. During the research project, the cyclist was exposed to numerous thrombogenic risk factors including travel, dehydration, prolonged sitting and exercise. The DVT in the popliteal vein may have resulted from repetitive movements associated with cycling. Additionally, hypertrophy of the gastrocnemius muscle may have impinged the vein. When diagnosing DVT within a cycling population, PVES should not be overlooked as a contributing factor.

Item Details

Item Type:Refereed Article
Keywords:athletes, deep vein thrombosis, doppler ultrasound, sports related compression
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Haematology
Objective Division:Health
Objective Group:Specific Population Health (excl. Indigenous Health)
Objective Field:Specific Population Health (excl. Indigenous Health) not elsewhere classified
UTAS Author:Kean, J (Mr Jack Kean)
UTAS Author:Pearton, A (Miss Ashleigh Pearton)
UTAS Author:Fell, JW (Associate Professor James Fell)
UTAS Author:Adams, MJ (Dr Murray Adams)
UTAS Author:Kitic, CM (Dr Cecilia Kitic)
UTAS Author:Wu, SSX (Dr Sam Wu)
UTAS Author:Zadow, EK (Ms Emma Zadow)
ID Code:133895
Year Published:2018
Web of Science® Times Cited:1
Deposited By:Health Sciences
Deposited On:2019-07-15
Last Modified:2019-08-30
Downloads:0

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