Chest pain and shortness of breath in a collegiate basketball player: case report and literature review.
An 18-yr-old college freshman basketball player at a Division I university suffered chest pain, dyspnea, and dizziness followed by syncope while running a 400-m dash. After an extensive multidisciplinary workup that eliminated all organic causes, the patient, an only child from a remote rural area, was found to be suffering from panic attacks with mild features of agoraphobia. Exertional chest pain is a common complaint in young athletes. The etiologies are myriad and can be referable to many organ systems; however, the cause is usually benign. Psychogenic origin is uncommon but must be considered when organic causes have been ruled out and the patient's social history is suggestive.
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Section of Sports Medicine, University of Kentucky Medical Center, Lexington 40536-0084.
D000293:Adolescent; D000379:Agoraphobia / Q000150:complications; D001490:Basketball; D002637:Chest Pain / Q000209:etiology* / Q000523:psychology; D004417:Dyspnea / Q000209:etiology* / Q000523:psychology; D006801:Humans; D008297:Male; D016584:Panic Disorder / Q000150:complications*; D012420:Running