Document Detail


Exercise-induced vasodepressor syncope in a collegiate wrestler: a case study.
MedLine Citation:
PMID:  16558473     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present the case of an 18-year-old collegiate wrestler diagnosed with vasodepressor syncope.
BACKGROUND: Vasodepressor syncope and the pathophysiologic mechanisms responsible are not fully understood. It is postulated that a sudden, rapid reduction in venous return to the heart allows for quite forceful ventricular contractions. Hypotension, bradycardia, and possible cerebral hypoxia may result, which could cause loss of consciousness.
DIFFERENTIAL DIAGNOSIS: Cardiovascular, neurologic, metabolic, and psychogenic causes.
TREATMENT: Pharmacologic therapy of fludrocortisone acetate and potassium chloride was effective. The athlete returned to full activity without restrictions and remained symptom free throughout the remainder of the season.
UNIQUENESS: Vasodepressor syncope is usually associated with full syncope. However, this 18-year-old wrestler never fully lost consciousness. His symptoms occurred primarily with exercise.
CONCLUSIONS: The athletic trainer should consider exercise- induced vasodepressor syncope as a possible etiology for those athletes who present with presyncopal episodes.
Authors:
J Hand
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of athletic training     Volume:  32     ISSN:  1062-6050     ISO Abbreviation:  J Athl Train     Publication Date:  1997 Oct 
Date Detail:
Created Date:  2010-06-29     Completed Date:  2010-06-29     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  9301647     Medline TA:  J Athl Train     Country:  United States    
Other Details:
Languages:  eng     Pagination:  359-62     Citation Subset:  -    
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