Auszug
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].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Arad M, Solomon A, Roth A, Atsmon J, Rabinowitz B (1993) Postexercise syncope: evidence for increased activity of the sympathetic nervous system. Cardiology 83:121–123
Berger TM, Porter CJ (1993) Carotid sinus syndrome and wrestling. Mayo Clin Proc 68:366–369
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 40:2053–2059
Calcins H, Seifert M, Morady F (1995) Clinical presentation and long-term follow-up of athletes with exercise-induced vasopressor syncope. Am Heart J 129:1159–1164
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 89:588–596
Driscoll DJ, Jacobsen SJ, Porter CJ, Wollan PC (1997) Syncope in children and adolescents. J Am Coll Cardiol 29:1039–1045
Finlay JB, Hartman AF, Weir RC (1995) Post-swim orthostatic intolerance in a marathon swimmer. Med Sci Sports Exerc 27:1231–1237
Franklin BA, Kahn JK (1995) Detecting the individual prone to exercise-related sudden cardiac death. Sport Science Review 4:85–106
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):16–19
Goodman JM (1995) Exercise and sudden cardiac death: etiology in apparently healthy individuals. Sport Science Review 4:14–30
Holtzhausen LM, Noakes TD (1995) The prevalence and significance of post-exercise (postural) hypotension in ultramarathon runners. Med Sci Sports Exerc 27:1595–1601
Hurwitz JL, Conley MJ, Wharton JM, Prystowsky EN (1991) Syncope secondary to paroxysmal high grade AV block in a heavily trained man. PACE 14:994–999
Hust MH, Heck KF, Keim MW (1999) Kipptisch-Test zur Diagnostik vasovagaler Synkopen. Dtsch Ärztebl 96:A-1488–1492
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 255–261
Hust MH, Keim MW, Momper R, Dickhuth HH (1998) Syncope in young persons and athletes. Inter J Sports Med 19:4–5
Jeresaty RM (1986) Mitral valve prolapse: definition and implications in athletes. J Am Coll Cardiol 7:231–236
John M (1994) Exercise induced anaphylaxis: one more cause for syncope. WV Med J 90:518
Kapoor WN (1991) Diagnostic evaluations of syncope. Am J Med 90:91–106
Kato Y, Kokubo Y, Narita Y, Kuzuhara S, Naito Y (1996) A case of exercise-induced anaphylaxis. Rinsho Shinkeigaku 36:680–682
Kenny RA, Bayliss J, Ingram A, Sutton R (1986) Head up tilt: a useful test for investigating unexplained syncope. Lancet 1:1352–1355
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 26:406–410
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 106:1684–1689
Levy M, Villain E, Philippe F, Kachaner J (1993) Catecholamine induced ventricular tachycardia: a cause of severe syncope during adolescence. Pediatrie 48:533–535
Linzer M, Pritchett ELC, Pontinen M, McCarthy E, Divine GW (1990) Incremental diagnostic yield of loop electrocardiographic recorders in unexplained syncope. Am J Cardiol 66:214–219
Lively MW (2000) Syncope and neurologic deficits in a track athlete: a case report. Med Sci Sports Exerc 33:345–347
Luri KG, Benditt D (1996) Syncope and the autonomic nervous system. J Cardiovasc Electrophysiol 7:760–776
Maron BJ, Roberts WC, McAllister HA, Rosing DR, Epstein SE (1980) Sudden death in young athletes. Circulation 62:218–229
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 314:171–174
Nagashima M, Baba R, Goto M, Nishabata K, Nagano Y (1996) Exercise-induced ventricular tachycardia without demonstrable heart disease in childhood. Acta Paediatr Jpn 38:495–499
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 73:544–547
Perryman RA, Bayne E, Miller RH (1991) Bull-worker syncope: congenital subclavian steal syndrome following isometric exercise. Pediatr Cardiol 12:105–106
Petersen ME, Williams TR, Sutton R (1995) Psychogenic syncope diagnosed by prolonged head-up tilt testing. Quat J Med 88:209–213
Reeves AL, Nollet KE, Klass DW, Sharbrough FW, So EL (1996) The ictal bradycardia syndrome. Epilepsia 37:983–987
Rubin AM, Rials SJ, Marinchak RA, Kowey PR (1993) The head-up tilt table test and cardiovascular neurogenic syncope. Am Heart J 125:4476–4482
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 75:476–481
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 2:256–262
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 94:592–61
Senna G, Mezzelani P, Pacor ML (1993) Anaphylaxis induced by exertion. Recenti Prog Med 84:203–209
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 19:71–73
Sheffer AL, Soter NA, McFadden ER Jr, Austen KF (1983) Exercise-induced anaphylaxis. A distinct form of physical allergy. J Allergy Clin Immunol 71:311–316
Shepard RJ (1995) Exercise and sudden death: an overview. Sport Science Review 4:1–13
Soteriades ES, Evans JC, Larson MG, Chen MH, Chen L, Benjamin EJ, Levy D (2002) Incidence and prognosis of syncope. N Engl J Med 347:878–885
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 47:218–223
Thames MD, Alpert JS, Dalen JE (1977) Syncope in patients with pulmonary embolism. JAMA 238:2509–2511
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 25:2054–2072
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 59:654–662
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 51:296–300
van Rijckevorsel K, Saussu F, de Barsy T (1995) Bradycardia, an epileptic ictal manifestation. Seizure 4:237–239
von Vigier R, Sheffer AL, Pichler WJ (1995) Anstrengungsinduzierte Urtikaria und Anaphylaxie. Dtsch Med Wochenschr 120:1381–1386
Williams CC, Bernhardt DT (1995) Syncope in athletes. Sports Med 19:223–234
Woltsche-Kahr I, Kränke B (1997) Rezidivierende Bewußtseinsverluste bei anaphylaktischen Reaktionen. Dtsch Med Wochenschr 122:747–750
Zipes DP, Garson A (1994) Task Force 5: Arrhythmias. J Am Coll Cardiol 254: 892–899
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2007 Steinkopff Verlag Darmstadt
About this chapter
Cite this chapter
Hust, M.H., Dickhuth, HH. (2007). Synkopen und Sport. In: Sportkardiologie. Steinkopff. https://doi.org/10.1007/978-3-7985-1707-3_14
Download citation
DOI: https://doi.org/10.1007/978-3-7985-1707-3_14
Publisher Name: Steinkopff
Print ISBN: 978-3-7985-1706-6
Online ISBN: 978-3-7985-1707-3
eBook Packages: Medicine (German Language)