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Jelledejong (talk | contribs) (Created page with "''Roland D. Thijs, Robert H.A. Reijntjes, J. Gert van Dijk''<br/> ''Department of Neurology and Clinical Neurophysiology, Leiden, The Netherlands''<br><br/> {{case_present| =...") |
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== Background == | == Background == | ||
Exercise-related syncope without organic heart disease | Exercise-related syncope without organic heart disease | ||
has frequently been reported in young athletes | has frequently been reported in young athletes.<cite>Calkins</cite><cite>Grub</cite><cite>Kosinski2000</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.<cite>Calkins</cite><cite>Colivicchi</cite> Tilt-table testing may be a useful diagnostic | |||
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 | |||
tool provoking syncope in 41 % of 24 athletes and up to | tool provoking syncope in 41 % of 24 athletes and up to | ||
79 % after isoproterenol infusion | 79 % after isoproterenol infusion.<cite>Grub</cite> Idiopathic exercise-related syncope has been reported to result from | ||
hypotension together with a normal HR, tachycardia, | hypotension together with a normal HR, tachycardia, | ||
bradycardia or asystole | bradycardia or asystole.<cite>Calkins</cite><cite>Kosinski2000</cite> The pathophysiology of | ||
this condition is poorly understood | this condition is poorly understood.<cite>Kosinski2000</cite> Atenolol, hydrofludrocortisone, disopyramide, transdermal scopolamine and increased salt intake have been recommended as treatment for exercise-related syncope.<cite>Calkins</cite><cite>Grub</cite><cite>Kosinski1996</cite><cite>Sakaguchi</cite><cite>Sneddon</cite> To our knowledge this is the first report of a | ||
beneficial effect of water drinking for this condition. | beneficial effect of water drinking for this condition. | ||