PDF(Pubmed)
Abstract：
Dry scooping, a rather risky act of consuming undiluted pre-workout protein powder hoping for a more pronounced energy surge, is increasingly becoming a fitness trend worldwide. A previously healthy 25-year-old man of African origin presented with acute onset of crushing mid-sternal chest pain for 4 h. His symptoms began about an hour following completion of his 2-h exercise regimen at the gym. He had an unremarkable past medical history except for an 8-month consumption of a pre-workout supplement as part of his gym routine. He claimed to have adhered to the manufacturer\'s recommended method of using the supplement, except for 3 days prior to presentation when he started \"dry scooping\" following the viewing of a video advocating such practice from his fitness WhatsApp group. Cardiac evaluation revealed features in keeping with diagnosis of anterolateral ST-elevation myocardial infarction. Emergency coronary angiography revealed a thrombotic lesion completely occluding the proximal left anterior descending coronary artery with TIMI 0 flow distally. After successful balloon angioplasty, a drug-eluting stent was implanted successfully, restoring TIMI 3 flow to the proximal left anterior descending coronary artery. This case report aims to raise awareness among both clinicians and the general public regarding the pervasiveness of pre-workout supplements, improper methods of consumption, and the potential life-threatening repercussions of misuse.
摘要：
干勺,一种相当危险的行为，即食用未稀释的锻炼前蛋白粉，希望能有更明显的能量激增，正日益成为全球健身趋势。一位以前健康的25岁非洲裔男子表现为急性发作的胸骨中期胸痛4小时。他的症状在健身房完成2小时的锻炼方案后约一个小时开始。他的既往病史并不明显，除了8个月的锻炼前补充剂作为他的健身房常规的一部分。他声称已经遵守了制造商推荐的使用补充剂的方法，除了在演示前3天，当他开始“干sc”后，观看了他的健身WhatsApp小组倡导这种做法的视频。心脏评估显示了与前外侧ST抬高型心肌梗死诊断一致的特征。急诊冠状动脉造影显示血栓性病变完全阻塞了近端左前降支冠状动脉，远端有TIMI0流量。成功的球囊血管成形术后，一个药物洗脱支架成功植入,恢复TIMI3流向近端左前降支冠状动脉。本病例报告旨在提高临床医生和公众对锻炼前补充剂普遍性的认识。消费方法不当，以及滥用可能危及生命的后果。
