title: Upper extremity deep vein thrombosis in a triathlete: Again intense endurance exercise as a thrombogenic risk.
abstract: Triathlon followers increase each year and long-distance events have seen major growth worldwide. In the cycling phase, athletes must maintain an aerodynamic posture on the bike for long periods of time. We report a case of a 38-year-old triathlete with symptoms of an axillary vein thrombosis 48h after a long triathlon competition. After 3days of hospitalization with a treatment consisted on enoxaparin anticoagulant and acenocumarol, the patient was discharged with instructions to continue treatment under home hospitalization with acetaminophen. Four weeks after the process, the patient was asymptomatic and the diameter of his arm was near normality. Due to the growing popularity of events based on endurance exercise, it is necessary more research to determine the etiopathogeny of deep venous thrombosis in athletes.
authors.affiliation: Servicio de Cirugía ortopédica y traumatología, Hospital Reina Sofía, Tudela, Navarra, Spain. Electronic address: ignaciosancho2001@yahoo.es.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Sancho-González
authors.affiliation: Servicio de Medicina Interna, Hospital Reina Sofía, Tudela, Navarra, Spain. Electronic address: dra.mariabonilla@gmail.com.
authors.forename: María Vicenta
authors.initials: MV
authors.lastname: Bonilla-Hernández
authors.affiliation: Servicio de Radiología, Hospital Reina Sofía, Tudela, Navarrra, Spain. Electronic address: david_ibi@hotmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Ibañez-Muñoz
authors.affiliation: Universidad Francisco de Vitoria, Carretera Pozuelo-Majadahonda, km 1,800, 28223, Pozuelo de Alarcón, Madrid, Spain. Electronic address: d.vicente.prof@ufv.es.
authors.forename: Davinia
authors.initials: D
authors.lastname: Vicente-Campos
authors.affiliation: Grupo FEBIO, Universidad Complutense de Madrid, Madrid, Spain. Electronic address: jlopezch@ucm.es.
authors.forename: José López
authors.initials: JL
authors.lastname: Chicharro
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D056352:Athletes; D003163:Competitive Behavior; D004734:Energy Metabolism; D017984:Enoxaparin / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D010807:Physical Endurance / Q000502:physiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D056824:Upper Extremity Deep Vein Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin
keywords: Deep vein thrombosis; Endurance exercise; Paget-Schroetter; Triathlon; Tromboembolism