Best Practice Case Studies-Metabolic/Medical Conditions

Pdf Summary

This document presents multiple study questions revolving around the evaluation and management of hypertension in athletes. The central themes include appropriate screening measures, diagnostic criteria, and treatment options tailored for athletes, considering the unique demands placed on their cardiovascular systems due to their sporting activities.

<strong>Study Question #1</strong> presents the scenario of an 18-year-old male wrestler with consistently elevated blood pressure readings indicative of stage 2 hypertension (>160/100 mmHg). The recommendation is to restrict him from participation until controlled by lifestyle or medical intervention, given the risks associated with high static sports like wrestling.
  
<strong>Study Question #2</strong> involves a 19-year-old female discus thrower displaying stage 1 hypertension. Ambulatory blood pressure monitoring is advised to rule out white coat hypertension, ensuring accurate diagnosis without premature activity restriction.

<strong>Study Question #3</strong> focuses on the selection of antihypertensive medications, emphasizing the importance of choosing drugs that maximize therapeutic benefits while minimizing effects on athletic performance. For example, valsartan is preferred for a lacrosse player, avoiding medications that impair athletic performance or contravene doping regulations.

<strong>Study Question #4</strong> outlines the factors—age, height, and gender—needed to accurately diagnose hypertension in a 16-year-old swimmer using standardized growth charts.

<strong>Study Question #5</strong> discusses the case of a 36-year-old female runner with hypertension likely influenced by combined use of oral contraceptives, ibuprofen, and pseudoephedrine. Discontinuation of these medications is the initial recommendation prior to considering pharmacotherapy.

<strong>Study Question #6</strong> advises against sports clearance for a 14-year-old football player with stage 2 hypertension until blood pressure control is achieved, highlighting the need for both lifestyle changes and potential medication before participation.

Each scenario underscores the necessity of a personalized approach to hypertension management in athletes, aiming to balance health risks and athletic participation.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 34

Topic Metabolic/Medical Conditions

Keywords

hypertension

athletes

screening measures

diagnostic criteria

treatment options

cardiovascular demands

antihypertensive medications

white coat hypertension

sports participation

personalized management

3rd Edition

3rd Edition, CASE 34

Metabolic/Medical Conditions