Introduction
Exercise related death is a catastrophic event in young and apparently healthy individuals. Isotonic exercise and chest trauma during exercise are sometimes associated with sudden cardiac death especially in patients with predisposing conditions. Nonetheless chest pain and death after isometric exercise as weight lifting is an unusual occasion in a young and healthy individual. This report demonstrates a 28 year old patient who presented with chest pain soon after weight lifting exercise and died 6 hours later due to aortic dissection.
Case Presentation
28 year old male without any known disease was brought to emergency room due to cardiac arrest soon after the onset of severe chest pain following weight lifting exercise. Physical examination revealed tachycardia and hypotension without any heart murmur. His heart rate on admission was 110 bpm and blood pressure was 80/50 mmHg. Although the main differential diagnosis was acute coronary syndrome, there was nothing remarkable in his ECG. He was taken directly to the cath lab in a view to explain sudden cardiac arrest. His coronary angiogram was normal however aortography proved Debakey Type I aortic dissection. He died during the preparation for surgery.
Case Presentation
28 year old male without any known disease was brought to emergency room due to cardiac arrest soon after the onset of severe chest pain following weight lifting exercise. Physical examination revealed tachycardia and hypotension without any heart murmur. His heart rate on admission was 110 bpm and blood pressure was 80/50 mmHg. Although the main differential diagnosis was acute coronary syndrome, there was nothing remarkable in his ECG. He was taken directly to the cath lab in a view to explain sudden cardiac arrest. His coronary angiogram was normal however aortography proved Debakey Type I aortic dissection. He died during the preparation for surgery.
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