Exertional XXXX after spinning: case series and review of the literature.

@entity1 @entity5925 @entity2054 @entity5642 @entity810 @entity158 @entity943
BACKGROUND: Spinning is a popular indoor stationary cycling program that uses group classes as a motivational tool. Exertional @entity5925 (ER) is frequently reported in athletes and military recruits; however, infrequently it has been reported after spinning class. ER is diagnosed by clinical history, physical exam, and laboratory values. Hydration, electrolyte management, and @entity158 control are key components to treatment of this condition. Severe cases can be complicated by @entity810 , @entity2054 , @entity943 , and disseminated @entity5642 . PURPOSE: WE describe three cases of admission due to @entity5925 after spinning. The diagnosis, admission criteria, and medical treatment of ER are presented in the context of a literature review. STUDY DESIGN: A retrospective review of three cases with review of the current literature. METHODS: The medical and laboratory records of three @entity1 cases were reviewed. A search of the PubMed database was used to perform a comprehensive review of exertional @entity5925 . Our institution's IRB reviewed this study. RESULTS: We report three cases of exertional @entity5925 after spinning and describe the diagnostic workup and medical management of these @entity1 . CONCLUSIONS: The diagnosis of ER is made by clinical history, physical exam, and laboratory values. The disease spectrum ranges from mild to severe with the potential of serious complications in some @entity1 . We demonstrate three cases of ER in deconditioned individuals who presented to the emergency department for evaluation. Careful medical management and @entity1 monitoring resulted in improved @entity1 symptomatology and eventual return to physical activity.
