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

Kean, J; Pearton, A; Fell, JW; Adams, MJ; Kitic, CM; Wu, SSX; Stone, S; Zadow, EK

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

Kean, J Pearton, A Fell, JW Adams, MJ Kitic, CM Wu, SSX Stone, S Zadow, EK

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Publication Type:: Journal Article
Citation:: Journal of Thrombosis and Thrombolysis, 2019, 47 (2), pp. 301 - 304
Issue Date:: 2019-02-15

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Field	Value	Language
dc.contributor.author	Kean, J	en_US
dc.contributor.author	Pearton, A	en_US
dc.contributor.author	Fell, JW	en_US
dc.contributor.author	Adams, MJ	en_US
dc.contributor.author	Kitic, CM	en_US
dc.contributor.author	Wu, SSX	en_US
dc.contributor.author	Stone, S	en_US
dc.contributor.author	Zadow, EK	en_US
dc.date.accessioned	2020-03-17T02:19:01Z
dc.date.available	2020-03-17T02:19:01Z
dc.date.issued	2019-02-15	en_US
dc.identifier.citation	Journal of Thrombosis and Thrombolysis, 2019, 47 (2), pp. 301 - 304	en_US
dc.identifier.issn	0929-5305	en_US
dc.identifier.uri	http://hdl.handle.net/10453/139355
dc.description.abstract	© 2018, Springer Science+Business Media, LLC, part of Springer Nature. 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.	en_US
dc.relation.ispartof	Journal of Thrombosis and Thrombolysis	en_US
dc.relation.isbasedon	10.1007/s11239-018-1796-x	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Cardiovascular System & Hematology	en_US
dc.subject.mesh	Popliteal Vein	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Venous Thrombosis	en_US
dc.subject.mesh	Peripheral Vascular Diseases	en_US
dc.subject.mesh	Syndrome	en_US
dc.subject.mesh	Ultrasonography, Doppler	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Physical Endurance	en_US
dc.subject.mesh	Muscle Contraction	en_US
dc.subject.mesh	Bicycling	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Factor Xa Inhibitors	en_US
dc.subject.mesh	Rivaroxaban	en_US
dc.title	Deep vein thrombosis in a well-trained masters cyclist, is popliteal vein entrapment syndrome to blame?	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	47	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
utslib.copyright.status	closed_access	*
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	47	en_US

Abstract:

© 2018, Springer Science+Business Media, LLC, part of Springer Nature. 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.

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http://hdl.handle.net/10453/139355