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Syncope

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Sports Cardiology

Abstract

Syncope is properly defined as a transient loss of consciousness and postural tone due to global cerebral hypoperfusion; the onset is sudden, the duration is short, and recovery is generally spontaneous [1].

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References

  1. Guidelines for the diagnosis and management of syncope (2009). The Task Force for the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC). Eur H Journal (Epub ahead of print)

    Google Scholar 

  2. Brignole M, Menozzi C, Bartoletti A et al (2006) A new management of syncope: prospective systematic guideline-based evaluation of patients referred urgently to general hospitals. Studio EGSYS-2 (Evaluation of Guidelines in Syncope Study) Studio di popolazione svolto nei Dipartimenti di Emergenza-Accettazione in Italia sull’impatto di una valutazione diagnostica del paziente strettamente aderente alle linee guida della Società Europea di Cardiologia. Eur Heart J 27:76–82

    Article  PubMed  Google Scholar 

  3. Chen LY, Shen WK et al (2006) Prevalence of syncope in a population aged more than 45 years. Am J Med 119:1088

    PubMed  Google Scholar 

  4. Lombroso CT, Lerman P (1967) Breathholding spells (cyanotic and pallid infantile syncope). Pediatrics 39:563–581

    PubMed  CAS  Google Scholar 

  5. Ganzeboom KS, Colman N et al (2003) Prevalence and triggers of syncope in medical students. Am J Cardiol 91:1006–1008

    Article  PubMed  Google Scholar 

  6. Colivicchi F, Ammirati F, Santini M (2004) Epidemiology and prognostic implications of syncope in young competing athletes. Eur H Journal 25:1749–1753

    Article  Google Scholar 

  7. Soteriades ES, Evans JC et al (2002) Incidence and prognosis of syncope. N Engl J Med 347:878–85.

    Article  PubMed  Google Scholar 

  8. Maron BJ, Roberts WC, McAllister HA et al (1980) Sudden death in young athletes. Circulation 62:218–229

    Article  PubMed  CAS  Google Scholar 

  9. Corrado D, Thiene G, Nava A et al (1990) Sudden death in young competitive athletes: clinicopathologic correlations in 22 cases. Am J Med 89:588–596

    Article  PubMed  CAS  Google Scholar 

  10. Levine BD, Buckley JC et al (1991) Physical fitness and cardiovascular regulation: mechanism of orthostatic intolerance. J Appl Physiol 70:112–122

    PubMed  CAS  Google Scholar 

  11. Kramer MR, Drori Y, Lev B (1988) Sudden death in young soldiers: high incidence of syncope prior to death. Chest 93:345–347

    Article  PubMed  CAS  Google Scholar 

  12. Maron BJ, Roberts WC, McAllister HA et al (1980) Sudden death in young athletes. Circulation 62:218–229

    Article  PubMed  CAS  Google Scholar 

  13. Corrado D, Migliore F, Basso C et al (2006) Exercise and the risk of sudden cardiac death. Herz 31:553–558

    Article  PubMed  Google Scholar 

  14. Tofler GH (1998) Triggers of sudden cardiac death in the athlete. In: Estes NAM, Salem DN, Wang PJ (eds). Sudden cardiac death in the athlete, pp 221–234. Futura, New York

    Google Scholar 

  15. O’Connor F, Levine BD et al (2009) Practical management: a systematic approach to the evaluation of the exercise-related syncope in athletes. Clin J Sport Med 19:429–434

    Article  Google Scholar 

  16. Link MS, Eates NA (2007) How to manage athletes with syncope. Cardol Clin 25:457–466

    Article  Google Scholar 

  17. Pelliccia A, Di Paolo FM, Corrado D et al (2006) Evidence for efficacy of the Italian national pre-participation screening programme for identification of hypertrophic cardiomyopathy in competitive athletes. Eur Heart J 27:2196–2000

    Article  PubMed  Google Scholar 

  18. Maron BJ, Estes NA III, Link MS (2005) 36th Bethesda Conference: Eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 45:1371–1373

    Article  PubMed  Google Scholar 

  19. Hosey RG, Carek PJ, Goo A (2001) Exercise-induced anaphylaxis and urticaria. Am Fam Physician 64:1367–1372

    PubMed  CAS  Google Scholar 

  20. Sauer AJ, Moss AJ, McNitt S et al (2007) Long QT syndrome in adults. J Am Coll Cardiol 49:329–337

    Article  PubMed  Google Scholar 

  21. Kapoor WN (2002) Current evaluation of and management of syncope. Circulation 1606–1609

    Google Scholar 

  22. Link MS, Wang PJ, Estes NA III. (2001) Ventricular arrhythmias in the athlete. Curr Opin Cardiol 16:35

    Article  Google Scholar 

  23. Marcus FI (2000) Electrocardiographic features of inherited diseases that predispose to the development of cardiac arrhythmias, long QT syndrome, arrhythmogenic right ventricular cardiomyopathy/dysplasia, and Brugada syndrome. J Electrocardiol 33(Suppl):1–10

    Article  PubMed  Google Scholar 

  24. Grubb BP (2005) Neurocardiogenic Syncope. N Engl J Med 352:1004–1010

    Article  PubMed  CAS  Google Scholar 

  25. Benditt DG, Ferguson DW, Grubb BP et al (1996) ACC Expert Consensus Document: Tilt table testing for assessing syncope. J Am Coll Cardiol 28:263–275

    Article  PubMed  CAS  Google Scholar 

  26. Grubb BP, Temesy-Armos PN, Samoil D et al (1993) Tilt table testing in the evaluation and management of athletes with recurrent exercise-induced syncope. Med Sci Sports Exerc 25:24–28

    Article  PubMed  CAS  Google Scholar 

  27. Driscoll DJ, Jacobsen SJ, Porter CJ, Wollan PC (1997) Syncope in children and adolescents. J Am Coll Cardiol 29:1039–1045

    Article  PubMed  CAS  Google Scholar 

  28. Maron BJ, Shirani, Poliac LC et al (1996) Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA 276:199–204

    Article  PubMed  CAS  Google Scholar 

  29. Maron BJ, Zipes DP (2005) 36th Bethesda Conference: eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Card 45:1312–1375

    Article  Google Scholar 

  30. Brignole M, Menozzi C et al for the Evaluation of Guidelines in Syncope Study 2 (EGSYS-2) group (2006) A new management of syncope: prospective systematic guideline-based evaluation of patients referred urgently to general hospitals. Eur H Journal 27:76–82

    Article  Google Scholar 

  31. Di Girolamo E, Di Iorio C, Leonzio L et al (1999) Usefulness of a tilt training program for the prevention of refractory neurocardiogenic syncope in adolescents: a controlled study. Circulation 100:1798–1801

    Article  PubMed  Google Scholar 

  32. Driscoll DJ, Jacobsen SJ, Porter CJ, Wollan PC (1997) Syncope in children and adolescents. J Am Coll Cardiol 29:1039–1045

    Article  PubMed  CAS  Google Scholar 

  33. Maron BJ, Shirani J, Poliac LCet al (1996) Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA 276:199–204

    Article  PubMed  CAS  Google Scholar 

  34. Kapoor WN (1998) Approach to the patient with syncope. In: Goldman L, Braunwald E (eds). Primary cardiology, pp 144–153. Saunders, Philadelphia

    Google Scholar 

  35. Corrado D, Basso C, Schiavon M, Thiene G (1998) Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med 339:364–369

    Article  PubMed  CAS  Google Scholar 

  36. Corrado D, Basso C, Thiene G. (1998) Sudden arrhythmic death in young people: warning symptoms and pathologic substrates. Presented at the 19th Annual Scientific Sessions of NASPE. San Diego, May 6–9, 1998

    Google Scholar 

  37. AAVV (1997) When does fainting represent a deadly condition? Exertional syncope: benign hypotension or life-threatening abnormality? Part 1. Sports Med Dig 19:118–120

    Google Scholar 

  38. Kapoor WN (1990) Evaluation and outcome of patients with syncope. Medicine 69:160–175

    Article  PubMed  CAS  Google Scholar 

  39. Alboni P, Brignole M, Menozzi C et al (2001) The diagnostic value of history in patients with syncope with or without heart disease. J Am Coll Cardiol 37:1921–1928

    Article  PubMed  CAS  Google Scholar 

  40. Manari A, Menozzi C, Roti S et al (1996) Syncope in trained athletes: occurrence and clinical significance. New Trends in Arrhythmias 11:13–15

    Google Scholar 

  41. Colivicchi F, Ammirati F, Biffi A et al (2002) Exerciserelated syncope in young competitive athletes without evidence of structural heart disease: clinical presentation and long-term outcome. Eur Heart J 23:1127–1132

    Article  Google Scholar 

  42. Biffi A, Verdile L, Ammirati F et al (2000) Syncope in athletes: how much is neuromodulation involved? In: Santini M (ed). Progress in clinical pacing, pp 84–86. Futura, New York

    Google Scholar 

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Bisceglia, C., Piro, M. (2012). Syncope. In: Fioranelli, M., Frajese, G. (eds) Sports Cardiology. Springer, Milano. https://doi.org/10.1007/978-88-470-2775-6_13

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  • DOI: https://doi.org/10.1007/978-88-470-2775-6_13

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2774-9

  • Online ISBN: 978-88-470-2775-6

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