Extensive deep vein thrombosis following prolonged gaming (‘gamer’s thrombosis’): a case report

Chang, Hsien-Cheng; Burbridge, H. M.; Wong, Conroy

doi:10.1186/1752-1947-7-235

Cited by 20 publications

(16 citation statements)

References 9 publications

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“…We initially identified 26 articles; after applying the inclusion criteria, 12 relevant articles were selected for this review (Figure), representing 15 patients who ranged in age from 12 to 44 years. [11][12][13][14][15][16][17][18][19][20][21][22] Among these 15 patients, recurrent VTE occurred in 3 patients, and 2 patients died as a result of VTE. 12,14,20,21 One of the cases was reported postmortem, so an approximate duration of gaming is provided.…”

Section: Resultsmentioning

confidence: 99%

Gamer's Thrombosis: A Review of Published Reports

Rambaran¹,

Alzghari

2020

TOJ

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Background: Thrombosis, well known as a condition of the elderly, is occurring in the otherwise healthy adolescent population. Immobility is a significant risk factor for venous thromboembolism (VTE), and adolescents who play video games are immobile for extended periods of time. Some are presenting with VTE. When other risk factors such as obesity are present, the risk of VTE formation increases. We provide a review of published case reports regarding gaming and thrombosis. Methods: We searched PubMed, Scopus, Web of Science, and EBSCO for articles published through July 2019, using the keywords "computer game thrombosis, ""computer game pulmonary embolism, ""computer game deep vein thrombosis, ""video game thrombosis, " "video game pulmonary embolism, " and "video game deep vein thrombosis. " Results: Of the 26 articles we identified, we included 12 articles in our review that report a total of 15 cases, of which 2 resulted in fatalities. Modifiable risk factors included cigarette use, being overweight, birth control use, and prolonged immobility. Anticoagulation was the principal treatment modality in patients presenting with gaming thrombosis. Conclusion: We strongly encourage screening gamers for possible VTEs if clinically warranted.

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Section: Resultsmentioning

confidence: 99%

Gamer's Thrombosis: A Review of Published Reports

Rambaran¹,

Alzghari

2020

TOJ

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“…More routine gamers spend 13 hr/week playing video games, and up to 97% of adolescents report playing any electronic games. 12,13 While gaming, most players are sedentary, often in seated or cross-legged positions. Since prolonged seated immobility is a well-established risk factor for developing VTE in the setting of travel, 14 one could hypothesize that immobility in the setting of gaming confers a similar risk.…”

Section: Discussionmentioning

confidence: 99%

“…16 Many case reports link prolonged gaming (three to 80 continuous hours) to thromboses, often termed "eThrombosis". 12,[17][18][19][20] Identifying prolonged video game use and immobility in the setting of obesity may be essential in risk assessment and counseling. With further investigation of prolonged gaming as a prothrombotic risk factor, it is conceivable that these VTEs could be considered "provoked".…”

Section: Discussionmentioning

confidence: 99%

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Obesity, sedentary lifestyle, and video games: The new thrombophilia cocktail in adolescents

Kohorst

Warad

Rao

et al. 2018

Pediatric Blood & Cancer

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Rates of venous thromboembolism have increased in the adolescent population over the last two decades, likely due to advanced diagnostics, increased use of central venous catheters, chronic medical conditions, obesity, and oral contraceptive use. Of these factors, a modifiable risk factor for adolescents is obesity. Sedentary lifestyle and prolonged immobilization are additional prothrombotic risk factors that are often associated with obesity. With ever-increasing screen time, sedentary behavior has risen accordingly, especially among gamers. We present four cases of adolescents who developed life-threatening venous thromboembolic events in the setting of obesity, sedentary lifestyle and/or immobilization, and prolonged video game use.

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“…PE can present with acute shortness of breath, but also be masked by underlying disease or the occult presentation. Long-distance air travel and prolonged sitting in relation to work or recreation have been shown to increase the risk of DVT [1]- [3]. Risk factors for cholyslithiasis, or gall bladder stones, are increased for women with mild to moderate increased body mass index (BMI), alcohol consumption, smoking and at times of ingestion of highly fatty foods [4].…”

Section: Introductionmentioning

confidence: 99%

First Masquerading as Gallstones, Pulmonary Hypertension Mimics PE

Quinn¹,

Ukwatta²,

Luke³

et al. 2015

CRCM

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Patients presenting to emergency and urgent care centers with calf pain after long and short-haul flights are a common presentation throughout Europe. Patients fitting an epidemiological risk profile for cholelithiasis and presenting with right upper quadrant abdominal pain can also be a common presentation fitting of a specific patient profile. However, pulmonary hypertension can present in a nuanced and possible missed chronic and acute presentation. The patient case we present profiles a mildly obese 54-year-old Caucasian woman and recent holiday maker with unilateral calf pain and shortness of breath after traveling on a long-haul flight with tertiary symptoms of indigestion and epigastric discomfort indicative of gastroenteritis. This case highlights the required diligence for emergency physicians to maintain a high index of suspicion and broad differential diagnosis in the undifferentiated patient with seemingly common or classic presentations. We find that a serendipitous definitive diagnosis is made by following a systematic and organized approach.

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Extensive deep vein thrombosis following prolonged gaming (‘gamer’s thrombosis’): a case report

Cited by 20 publications

References 9 publications

Gamer's Thrombosis: A Review of Published Reports

Gamer's Thrombosis: A Review of Published Reports

Obesity, sedentary lifestyle, and video games: The new thrombophilia cocktail in adolescents

First Masquerading as Gallstones, Pulmonary Hypertension Mimics PE

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