Document Detail


Exercise-related syncope in the young athlete: reassurance, restriction or referral?
MedLine Citation:
PMID:  10569503     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A common event in young adults, syncope is usually benign and only rarely requires more than simple reassurance. However, exercise-related syncope always requires investigation because it may be the only symptom that precedes a sudden cardiac death. Syncope that occurs during exercise tends to be more ominous than that occurring in the postexertional state. During the physical examination, the cardiovascular system should be evaluated carefully. An electrocardiogram is mandatory and requires close scrutiny, with further testing ordered as indicated. The investigation of syncope should specifically exclude known pathologic diagnoses before a complete return to activity is permitted. In cases where a diagnosis is not clearly established, consultation or referral may be warranted.
Authors:
F G O'Connor; R G Oriscello; B D Levine
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American family physician     Volume:  60     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-12-01     Completed Date:  1999-12-01     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2001-8     Citation Subset:  AIM; IM; S    
Affiliation:
Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Death, Sudden, Cardiac / prevention & control
Diagnosis, Differential
Exercise*
Heart Diseases / complications*,  diagnosis*
Humans
Referral and Consultation
Risk Factors
Sports*
Syncope / epidemiology,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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