Syncope after effort

A 29-year-old man developed recurrent syncope following exertion. Cardiac investigations revealed no evidence of structural heart disease, but during exercise testing, in the recovery phase, he sustained a bradycardia and then asystole for a prolonged period. Before cardiac massage could be institut...

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Bibliographic Details
Published in:Postgraduate medical journal 2000-03, Vol.76 (893), p.164-165
Main Authors: Lowe, Martin D, Petch, Michael C
Format: Article
Language:English
Subjects:
Adult
asystole
Biological and medical sciences
Bradycardia - complications
Cardiac dysrhythmias
Cardiac Pacing, Artificial
Cardiology. Vascular system
Consciousness
convulsion
Electrocardiography
Epilepsy, Tonic-Clonic - complications
Exercise
Heart
Heart Arrest - complications
Humans
Male
Medical sciences
pacemaker
Physical Exertion
Short Report
Sinuses
syncope
Syncope, Vasovagal - etiology
Syncope, Vasovagal - prevention & control
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Summary:A 29-year-old man developed recurrent syncope following exertion. Cardiac investigations revealed no evidence of structural heart disease, but during exercise testing, in the recovery phase, he sustained a bradycardia and then asystole for a prolonged period. Before cardiac massage could be instituted a tonic-clonic fit occurred, and this initiated a return to sinus rhythm. His symptoms were abolished following the implantation of a dual-chamber pacemaker.
ISSN:0032-5473
1469-0756
DOI:10.1136/pmj.76.893.164