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Synkopen und Sport

  • Martin H. Hust
  • Hans-Hermann Dickhuth

Zusammenfassung

Eine Synkope (griech.: synkoptein = zusammenschlagen) wird definiert als eine kurzfristige Bewusstlosigkeit mit Verlust des Muskeltonus. Die Ursachen sind zerebrale Ischämie, ungenügende Versorgung mit Sauerstoff oder Glukosemangel [43].

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Literatur

  1. 1.
    Arad M, Solomon A, Roth A, Atsmon J, Rabinowitz B (1993) Postexercise syncope: evidence for increased activity of the sympathetic nervous system. Cardiology 83: 121–123PubMedCrossRefGoogle Scholar
  2. 2.
    Berger TM, Porter CJ (1993) Carotid sinus syndrome and wrestling. Mayo Clin Proc 68: 366–369PubMedCrossRefGoogle Scholar
  3. 3.
    Calcins H, Seifert M, Morady F (1995) Clinical presentation and long-term follow-up of athletes with exercise-induced vasopressor syncope. Am Heart J 129: 1159–1164CrossRefGoogle Scholar
  4. 4.
    Corrado D, Thiene G, Nava A, Rossi L, Pennelli N (1990) Sudden death in young competitive athletes: clinicopathologic correlations in 22 cases. Am J Med 89: 588–596PubMedCrossRefGoogle Scholar
  5. 5.
    Driscoll DJ, Jacobsen SJ, Porter CJ, Wollan PC (1997) Syncope in children and adolescents. J Am Coll Cardiol 29: 1039–1045PubMedCrossRefGoogle Scholar
  6. 6.
    Finlay JB, Hartman AF, Weir RC (1995) Post-swim orthostatic intolerance in a marathon swimmer. Med Sci Sports Exerc 27: 1231–1237PubMedGoogle Scholar
  7. 7.
    Franklin BA, Kahn JK (1995) Detecting the individual prone to exercise-related sudden cardiac death. Sport Science Review 4: 85–106Google Scholar
  8. 8.
    Furlanello F, Bettini R, Bertoldi A, Vergara G, Visona L, Durante GB, Inama G, Frisanco L, Antolini R, Zanuttini D (1989) Arrhythmia patterns in athletes with arrhythmogenic right ventricular dysplasia. Eur Heart J 10 (Suppl D): 16–19PubMedCrossRefGoogle Scholar
  9. 9.
    Goodman JM (1995) Exercise and sudden cardiac death: etiology in apparently healthy individuals. Sport Science Review 4: 14–30Google Scholar
  10. 10.
    Holtzhausen LM, Noakes TD (1995) The prevalence and significance of post-exercise (postural) hypotension in ultramarathon runners. Med Sci Sports Exerc 27: 1595–1601PubMedGoogle Scholar
  11. 11.
    Hurwitz JL, Conley MJ, Wharton JM, Prystowsky EN (1991) Syncope secondary to paroxysmal high grade AV block in a heavily trained man. PACE 14: 994–999PubMedCrossRefGoogle Scholar
  12. 12.
    Hust MH, Just H, Löllgen H, Wehrle HJ, Nitsche K, Bonzel T, Dickhuth HH, Wollschläger H (1983) Arrhythmias in patients with congestive and hypertrophic cardiomyopathy during Holter monitoring and interventions. In: Just H, Schuster HP (eds) Myocarditis, cardiomyopathy. Springer, Berlin, pp 255–261CrossRefGoogle Scholar
  13. 13.
    Hust MH, Heck KF, Keim MW (1999) Kipptisch-Test zur Diagnostik vasovagaler Synkopen. Dtsch Ärztebl 96:A-1488–1492Google Scholar
  14. 14.
    Hust MH, Keim MW, Momper R, Dickhuth HH (1998) Syncope in young persons and athletes. Inter J Sports Med 19: 4–5Google Scholar
  15. 15.
    Jeresaty RM (1986) Mitral valve prolapse: definition and implications in athletes. J Am Coll Cardiol 7: 231–236PubMedCrossRefGoogle Scholar
  16. 16.
    John M (1994) Exercise induced anaphylaxis: one more cause for syncope. WV Med J 90: 518Google Scholar
  17. 17.
    Kapoor WN (1991) Diagnostic evaluations of syncope. Am J Med 90: 91–106PubMedCrossRefGoogle Scholar
  18. 18.
    Kato Y, Kokubo Y, Narita Y, Kuzuhara S, Naito Y (1996) A case of exercise-induced anaphylaxis. Rinsho Shinkeigaku 36: 680–682PubMedGoogle Scholar
  19. 19.
    Kenny RA, Bayliss J, Ingram A, Sutton R (1986) Head up tilt: a useful test for investigating unexplained syncope. Lancet 1: 1352–1355PubMedCrossRefGoogle Scholar
  20. 20.
    Levy M, Villain E, Philippe F, Kachaner J (1993) Catecholamine induced ventricular tachycardia: a cause of severe syncope during adolescence. Pediatrie 48: 533–535PubMedGoogle Scholar
  21. 21.
    Lively MW (2000) Syncope and neurologic deficits in a track athlete: a case report. Med Sci Sports Exerc 33: 345–347Google Scholar
  22. 22.
    Luri KG, Benditt D (1996) Syncope and the autonomic nervous system. J Cardiovasc Electrophysiol 7: 760–776CrossRefGoogle Scholar
  23. 23.
    Maron BJ, Roberts WC, McAllister HA, Rosing DR, Epstein SE (1980) Sudden death in young athletes. Circulation 62: 218–229PubMedCrossRefGoogle Scholar
  24. 24.
    McCrory PR, Bladin PF, Berkovic SF (1997) Retrospective study of concussive convulsions in elite Australian rules and rugby league footballers: phenomenology, aetiology, and outcome. Brit Med J 314: 171–174PubMedCrossRefGoogle Scholar
  25. 25.
    Nagashima M, Baba R, Goto M, Nishabata K, Nagano Y (1996) Exercise-induced ventricular tachycardia without demonstrable heart disease in childhood. Acta Paediatr Jpn 38: 495–499PubMedCrossRefGoogle Scholar
  26. 26.
    Noh CI, Song JY, Kim S, Choi JY, Yun YS (1995) Ventricular tachycardia and exercise related syncope in children with structurally normal hearts: emphasis on repolarisation abnormality. Br Heart J 73: 544–547PubMedCrossRefGoogle Scholar
  27. 27.
    Perryman RA, Bayne E, Miller RH (1991) Bull-worker syncope: congenital subclavian steal syndrome following isometric exercise. Pediatr Cardiol 12: 105–106PubMedCrossRefGoogle Scholar
  28. 28.
    Petersen ME, Williams TR, Sutton R (1995) Psychogenic syncope diagnosed by prolonged head-up tilt testing. Quat J Med 88: 209–213Google Scholar
  29. 29.
    Reeves AL, Nollet KE, Klass DW, Sharbrough FW, So EL (1996) The ictal bradycardia syndrome. Epilepsia 37: 983–987PubMedCrossRefGoogle Scholar
  30. 30.
    Rubin AM, Rials SJ, Marinchak RA, Kowey PR (1993) The head-up tilt table test and cardiovascular neurogenic syncope. Am Heart J 125: 4476–4482CrossRefGoogle Scholar
  31. 31.
    Sakaguchi S, Shultz JJ, Remole SC, Adler SW, Lurie KG, Benditt DG (1995) Syncope associates with exercise, a manifestation of neurally mediated syncope. Am J Cardiol 75: 476–481PubMedCrossRefGoogle Scholar
  32. 32.
    Senna G, Mezzelani P, Pacor ML (1993) Anaphylaxis induced by exertion. Recenti Prog Med 84: 203–209PubMedGoogle Scholar
  33. 33.
    Shapira Y, Kusniec J, Birnbaum Y, Strasberg B (1996) Exercise-induced syncope and Holter-documented asystole in an endurance runner with moderate aortic stenosis. Clin Cardiol 19: 71–73PubMedCrossRefGoogle Scholar
  34. 34.
    Sheffer AL, Soter NA, McFadden (Jr) ER, Austen KF (1983) Exercise-induced anaphylaxis. A distinct form of physical allergy. J Allergy Clin Immunol 71: 311316Google Scholar
  35. 35.
    Shepard RJ (1995) Exercise and sudden death: an overview. Sport Science Review 4: 1–13Google Scholar
  36. 36.
    Soteriades ES, Evans JC, Larson MG, Chen MH, Chen L, Benjamin EJ, Levy D (2002) Incidence and prognosis of syncope. N Engl J Med 347: 878–885PubMedCrossRefGoogle Scholar
  37. 37.
    Stein PD, Willis PW, Demeta DL (1981) History and physical examination in acute pulmonary embolism in patients without preexisting cardiac or pulmonary disease. Am J Cardiol 47: 218–223PubMedCrossRefGoogle Scholar
  38. 38.
    Thames MD, Alpert JS, Dalen JE (1977) Syncope in patients with pulmonary embolism. JAMA 238: 2509–2511PubMedCrossRefGoogle Scholar
  39. 39.
    Tsuji A, Nagashima M, Hasegawa S, Nagai N, Nishibata K, Goto M, Matsushima M (1995) Long-term follow-up of idiopathic ventricular arrhythmias in otherwise normal children. Jpn Circ J 59: 654–662PubMedCrossRefGoogle Scholar
  40. 40.
    van den Berg MP, Crijns HJ, Bouwmeester TR, Smit AJ, Lie KI (1995) Cardiac asystole post-exercise: a report of two cases. Int J Cardiol 51: 296–300PubMedCrossRefGoogle Scholar
  41. 41.
    van Rijckevorsel K, Saussu F, de Barsy T (1995) Bradycardia, an epileptic ictal manifestation. Seizure 4: 237–239PubMedCrossRefGoogle Scholar
  42. 42.
    von Vigier R, Sheffer AL, Pichler WJ (1995) Anstrengungsinduzierte Urtikaria and Anaphylaxie. Dtsch Med Wochenschr 120: 1381–1386CrossRefGoogle Scholar
  43. 43.
    Williams CC, Berhardt DT (1995) Syncope in athletes. Sports Med 19: 223–234PubMedCrossRefGoogle Scholar
  44. 44.
    Woltsche-Kahr I, Kränke B (1997) Rezidivierende Bewusstseinsverluste bei anaphylaktischen Reaktionen. Dtsch Med Wochenschr 122: 747–750PubMedCrossRefGoogle Scholar
  45. 45.
    Zipes DP, Garson A (1994) Task Force 5: Arrhythmias. J Am Coll Cardiol 254: 892–899Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • Martin H. Hust
  • Hans-Hermann Dickhuth

There are no affiliations available

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