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Synkopen und Sport

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Eine Synkope (griech.: synkoptein=zusammenschlagen) wird definiert als eine plötzlich eintretende, kurzfristige Bewusstlosigkeit mit Verlust des Muskeltonus infolge einer vorübergehenden globalen zerebralen Minderperfusion; Synkopen sind spontan reversibel [45]. Umfangreiche Leitlinien und Kommentare zur Diagnostik und Therapie von Synkopen wurden von der European Society of Cardiology und der Deutschen Gesellschaft für Kardiologie jüngst publiziert [37, 45].

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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 83:121–123PubMedGoogle Scholar
  2. 2.
    Berger TM, Porter CJ (1993) Carotid sinus syndrome and wrestling. Mayo Clin Proc 68:366–369PubMedGoogle Scholar
  3. 3.
    Brignole M, Croci F, Menozzi C, Solano A, Oddone D, Puggioni E, Lollo G (2002) Isometric arm counter-pressure maneuvers to abort impending vasovagal syncope. J Am Coll Cardiol 40:2053–2059PubMedCrossRefGoogle Scholar
  4. 4.
    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
  5. 5.
    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
  6. 6.
    Driscoll DJ, Jacobsen SJ, Porter CJ, Wollan PC (1997) Syncope in children and adolescents. J Am Coll Cardiol 29:1039–1045PubMedCrossRefGoogle Scholar
  7. 7.
    Finlay JB, Hartman AF, Weir RC (1995) Post-swim orthostatic intolerance in a marathon swimmer. Med Sci Sports Exerc 27:1231–1237PubMedGoogle Scholar
  8. 8.
    Franklin BA, Kahn JK (1995) Detecting the individual prone to exercise-related sudden cardiac death. Sport Science Review 4:85–106Google Scholar
  9. 9.
    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):16–19PubMedGoogle Scholar
  10. 10.
    Goodman JM (1995) Exercise and sudden cardiac death: etiology in apparently healthy individuals. Sport Science Review 4:14–30Google Scholar
  11. 11.
    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
  12. 12.
    Hurwitz JL, Conley MJ, Wharton JM, Prystowsky EN (1991) Syncope secondary to paroxysmal high grade AV block in a heavily trained man. PACE 14:994–999PubMedGoogle 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, 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 255–261Google Scholar
  15. 15.
    Hust MH, Keim MW, Momper R, Dickhuth HH (1998) Syncope in young persons and athletes. Inter J Sports Med 19:4–5Google Scholar
  16. 16.
    Jeresaty RM (1986) Mitral valve prolapse: definition and implications in athletes. J Am Coll Cardiol 7:231–236PubMedGoogle Scholar
  17. 17.
    John M (1994) Exercise induced anaphylaxis: one more cause for syncope. WV Med J 90:518Google Scholar
  18. 18.
    Kapoor WN (1991) Diagnostic evaluations of syncope. Am J Med 90:91–106PubMedCrossRefGoogle Scholar
  19. 19.
    Kato Y, Kokubo Y, Narita Y, Kuzuhara S, Naito Y (1996) A case of exercise-induced anaphylaxis. Rinsho Shinkeigaku 36:680–682PubMedGoogle Scholar
  20. 20.
    Kenny RA, Bayliss J, Ingram A, Sutton R (1986) Head up tilt: a useful test for investigating unexplained syncope. Lancet 1:1352–1355PubMedGoogle Scholar
  21. 21.
    Krahn AD, Klein GJ, Yee R, Takle-Newhouse T, Norris C (1999) Use of an extended monitoring strategy in patients with problematic syncopes. Reveal Investigators. Circulation 26:406–410Google Scholar
  22. 22.
    Krediet CT, van Dijk N, Linzer M, van Lieshout JJ, Lieling W (2002) Management of vasovagal syncope: controlling or aborting faints by leg crossing and muscle tensing. Circulation 106:1684–1689PubMedCrossRefGoogle Scholar
  23. 23.
    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
  24. 24.
    Linzer M, Pritchett ELC, Pontinen M, McCarthy E, Divine GW (1990) Incremental diagnostic yield of loop electrocardiographic recorders in unexplained syncope. Am J Cardiol 66:214–219PubMedCrossRefGoogle Scholar
  25. 25.
    Lively MW (2000) Syncope and neurologic deficits in a track athlete: a case report. Med Sci Sports Exerc 33:345–347Google Scholar
  26. 26.
    Luri KG, Benditt D (1996) Syncope and the autonomic nervous system. J Cardiovasc Electrophysiol 7:760–776CrossRefGoogle Scholar
  27. 27.
    Maron BJ, Roberts WC, McAllister HA, Rosing DR, Epstein SE (1980) Sudden death in young athletes. Circulation 62:218–229PubMedGoogle Scholar
  28. 28.
    McCrory PR, Bladin PF, Berkovic SF (1997) Retrospective study of concussive convulsions in elite Australian rules and rugby league footballers: phenomenology, aetiology, and outcome. BMJ 314:171–174PubMedGoogle Scholar
  29. 29.
    Nagashima M, Baba R, Goto M, Nishabata K, Nagano Y (1996) Exercise-induced ventricular tachycardia without demonstrable heart disease in childhood. Acta Paediatr Jpn 38:495–499PubMedGoogle Scholar
  30. 30.
    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
  31. 31.
    Perryman RA, Bayne E, Miller RH (1991) Bull-worker syncope: congenital subclavian steal syndrome following isometric exercise. Pediatr Cardiol 12:105–106PubMedCrossRefGoogle Scholar
  32. 32.
    Petersen ME, Williams TR, Sutton R (1995) Psychogenic syncope diagnosed by prolonged head-up tilt testing. Quat J Med 88:209–213Google Scholar
  33. 33.
    Reeves AL, Nollet KE, Klass DW, Sharbrough FW, So EL (1996) The ictal bradycardia syndrome. Epilepsia 37:983–987PubMedCrossRefGoogle Scholar
  34. 34.
    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
  35. 35.
    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
  36. 36.
    Seidl K, Rameken M, Breunung S, Senges J, Jung W, Andresen D, van Toor A, Krahn AD, Klein GJ on behalf of the Reveal Investigators (2000) Diagnostic assessment of recurrent unexplained syncope with a new subcutaneously implantable loop recorder. Europace 2:256–262PubMedCrossRefGoogle Scholar
  37. 37.
    Seidl K, Schuchert A, Tebbenjohanns J, Hartung W (2005) Kommentar zu den Leitlinien zur Diagnostik und Therapie von Synkopen — der Europäischen Gesellschaft für Kardiologie 2001 und dem Update 2004. Z Kardiol 94:592–61PubMedCrossRefGoogle Scholar
  38. 38.
    Senna G, Mezzelani P, Pacor ML (1993) Anaphylaxis induced by exertion. Recenti Prog Med 84:203–209PubMedGoogle Scholar
  39. 39.
    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 19:71–73PubMedGoogle Scholar
  40. 40.
    Sheffer AL, Soter NA, McFadden ER Jr, Austen KF (1983) Exercise-induced anaphylaxis. A distinct form of physical allergy. J Allergy Clin Immunol 71:311–316PubMedCrossRefGoogle Scholar
  41. 41.
    Shepard RJ (1995) Exercise and sudden death: an overview. Sport Science Review 4:1–13Google Scholar
  42. 42.
    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
  43. 43.
    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
  44. 44.
    Thames MD, Alpert JS, Dalen JE (1977) Syncope in patients with pulmonary embolism. JAMA 238:2509–2511PubMedCrossRefGoogle Scholar
  45. 45.
    The Tasc Force on Syncope, European Society of Cardiology (2004) Guidelines on management (diagnosis and treatment) of syncope — update. Executive Summary (2004). Eur Heart J 25:2054–2072CrossRefGoogle Scholar
  46. 46.
    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 59:654–662PubMedGoogle Scholar
  47. 47.
    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
  48. 48.
    van Rijckevorsel K, Saussu F, de Barsy T (1995) Bradycardia, an epileptic ictal manifestation. Seizure 4:237–239PubMedCrossRefGoogle Scholar
  49. 49.
    von Vigier R, Sheffer AL, Pichler WJ (1995) Anstrengungsinduzierte Urtikaria und Anaphylaxie. Dtsch Med Wochenschr 120:1381–1386CrossRefGoogle Scholar
  50. 50.
    Williams CC, Bernhardt DT (1995) Syncope in athletes. Sports Med 19:223–234PubMedCrossRefGoogle Scholar
  51. 51.
    Woltsche-Kahr I, Kränke B (1997) Rezidivierende Bewußtseinsverluste bei anaphylaktischen Reaktionen. Dtsch Med Wochenschr 122:747–750PubMedGoogle Scholar
  52. 52.
    Zipes DP, Garson A (1994) Task Force 5: Arrhythmias. J Am Coll Cardiol 254: 892–899CrossRefGoogle Scholar

Copyright information

© Steinkopff Verlag Darmstadt 2007

Authors and Affiliations

  1. 1.Kardiologische KlinikKlinikum am SteinenbergReutlingen
  2. 2.Abteilung Rehabilitative und Präventive SportmedizinMedizinische UniversitätsklinikFreiburg

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