BACKGROUND The pathophysiological mechanism causing awakening blood pressure (BP) rise is not clear. CASE REPORT We report the case of a 66-year-old man with a history of spinal cord injury, and who had remarkable awakening BP rise in ambulatory BP monitoring. The patient also had orthostatic hypotension and post-prandial hypotension associated with an increased insulin level. This case sugge...

There is no less contentious issue in elite sport than doping to enhance performance. Athletes are always looking to find the edge over opponents by fair means, or by foul in some cases. Potentially hazardous risks to health through doping are taken in the pursuit of sporting excellence. The increasing profile of disability sport and its potential rewards combined with the frailty of human natu...