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{{case_present| | {{case_present| | ||
== Background == | |||
Exercise-related syncope without organic heart disease | |||
has frequently been reported in young athletes <cite>Calkins<cite/><cite>Grubb<cite/><cite>Kosinksi2000<cite/><cite>Kosinski1996<cite/><cite>Sakaguchi<cite/><cite>Takase<cite/>. The exact incidence of idiopathic exercise-related syncope among young athletes is not known. | |||
Calkins et al. and Colivicchi et al. found that after a thorough cardiac evaluation athletes with an exertional-related syncope could safely continue to participate in athletics [2, 3]. Tilt-table testing may be a useful diagnostic | |||
tool provoking syncope in 41 % of 24 athletes and up to | |||
79 % after isoproterenol infusion [5]. Idiopathic exercise-related syncope has been reported to result from | |||
hypotension together with a normal HR, tachycardia, | |||
bradycardia or asystole [2, 9]. The pathophysiology of | |||
this condition is poorly understood [9]. Atenolol, hydrofludrocortisone, disopyramide, transdermal scopolamine and increased salt intake have been recommended as treatment for exercise-related syncope [2, 5, | |||
10, 11, 13]. To our knowledge this is the first report of a | |||
beneficial effect of water drinking for this condition. | |||
== Case == | |||
A 20-year-old male pupil of a sporting school had | A 20-year-old male pupil of a sporting school had | ||
had attacks of lightheadedness over several months. The | had attacks of lightheadedness over several months. The | ||