Exercise-induced vasodepressor syncope in a collegiate wrestler: a case study.
Year: 1997
Type: article
Study design: Case Report
Abstract: 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.
Source: Europe PMC (PubMed Central)
Author: J Hand
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2410776909