Near-syncope after exercise

JAMA

Volumn 292, Issue 10, 2004, Pages 1221-1226

  Ziegelstein, Roy C ^a  

^a JOHNS HOPKINS BAYVIEW MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ANAMNESIS; AORTA STENOSIS; ARTICLE; BRADYCARDIA; CAROTID SINUS MASSAGE; CASE REPORT; CATAPLEXY; DIFFERENTIAL DIAGNOSIS; ECG ABNORMALITY; EPILEPSY; EXERCISE; HEART ARRHYTHMIA; HEART DISEASE; HEART LEFT VENTRICLE OUTFLOW TRACT OBSTRUCTION; HEART RATE; HUMAN; HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY; HYPOGLYCEMIA; HYPOTENSION; MALE; PHYSICAL EXAMINATION; PRIORITY JOURNAL; SYNCOPE; TRANSIENT ISCHEMIC ATTACK;

EID: 4444354587     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.292.10.1221     Document Type: Article

References (39)

1. Brignole M, Alboni P, Benditt D, et al, for the Task Force on Syncope, European Society of Cardiology. Guidelines on management (diagnosis and treatment) of syncope. Eur Heart J. 2001;22:1256-1306.
2. Kapoor WN, Karpf M, Wieand S, Peterson JR, Levey GS. A prospective evaluation and follow-up of patients with syncope. W Engl J Med. 1983;309:197-204.
3. Eagle KA, Black HR, Cook EF, Goldman L. Evaluation of prognostic classifications for patients with syncope. Am J Med. 1985;79:455-460.
4. Martin TP, Hanusa BH, Kapoor WN. Risk stratification of patients with syncope. Ann Emerg Med. 1997;29:459-466.
5. Kapoor W, Snustad D, Peterson J, Wieand HS, Cha R, Karpf M. Syncope in the elderly. Am J Med. 1986;80:419-428.
6. Froelicher VF. Interpretation of hemodynamic responses to the exercise test. In: Froelicher VF, ed. Manual of Exercise Testing. 2nd ed. St Louis, Mo: Mosby-Year Book Inc; 1994:45-48.
7. Linzer M, Yang EH, Estes NA 3rd, Wang P, Vorperian VR, Kapoor WN, for the Clinical Efficacy Assessment Project of the American College of Physicians. Diagnosing syncope, part 1: value of history, physical examination, and electrocardiography. Ann Intern Med. 1997;126:989-996.
8. Manolis AS, Linzer M, Salem D, Estes NA 3rd. Syncope: current diagnostic evaluation and management. Ann Intern Med. 1990;112:850-863.
9. Boudoulas H, Nelson SD, Schaal SF, Lewis RP. Diagnosis and management of syncope. In: Fuster V, Alexander RW, O'Rourke RA, eds. Hurst's The Heart. 10th ed. New York, NY: McGraw-Hill; 2001:1003.
10. Cleroux J, Kouame N, Nadeau A, Coulombe D, Lacourciere Y. Aftereffects of exercise on regional and systemic hemodynamics in hypertension. Hypertension. 1992;19:183-191.
11. Halliwill JR, Taylor JA, Hartwig TD, Eckberg DL. Augmented barareflex heart rate gain after moderate-intensity, dynamic exercise. Am J Physiol. 1996;270: R420-R426.
12. Kenney MJ, Seals DR. Postexercise hypotension: key features, mechanisms, and clinical significance. Hypertension. 1993;22:653-664.
13. Halliwill JR. Mechanisms and clinical implications of post-exercise hypotension in humans. Exerc Sport Sci Rev. 2001;29:65-70.
14. Floras JS, Sinkey CA, Aylward PE, Seals DR, Thoren PN, Mark AL. Postexercise hypotension and sympathoinhibition in borderline hypertensive men. Hypertension. 1989;14:28-35.
15. Halliwill JR, Taylor JA, Eckberg DL. Impaired sympathetic vascular regulation in humans after acute dynamic exercise. J Physiol. 1996;495:279-288.
16. Somers VK, Conway J, LeWinter M, Sleight P. The role of baroreflex sensitivity in post-exercise hypotension. J Hypertens Suppl. 1985;3(suppl 3):S129-S130.
17. Legramante JM, Calante A, Massaro M, et al. Hemodynamic and autonomic correlates of postexercise hypotension in patients with mild hypertension. Am J Physiol Regul Integr Comp Physiol. 2002;282: R1037-R1043.
18. Osswald S, Brooks R, O'Nunain SS, et al. Asystole after exercise in healthy persons. Ann Intern Med. 1994;120:1008-1011.
19. Huycke EC, Card HG, Sobol SM, Nguyen NX, Sung RJ. Postexertional cardiac asystole in a young man without organic heart disease. Ann Intern Med. 1987;106:844-845.
20. Lowe MD, Petch MC. Syncope after effort. Post-grad Med J. 2000;76:164-165.
21. Mark AL. The Bezold-Jarisch reflex revisited: clinical implications of inhibitory reflexes originating in the heart. J Am Coll Cardiol. 1983;1:90-102.
22. Weiss S, Baker JP. The carotid sinus reflex in health and disease: its role in the causation of fainting and convulsions. Medicine. 1933;12:297-354.
23. Mathias CJ, Deguchi K, Schatz I. Observations on recurrent syncope and presyncope in 641 patients. Lancet. 2001;357:348-353.
24. Alboni P, Brignole M, Menozzi C, et al. Diagnostic value of history in patients with syncope with or without heart disease. J Am Coll Cardiol. 2001;37:1921-1928.
25. Brignole M. Randomized clinical trials of neurally mediated syncope. J Cardiovasc Eledrophysiol. 2003;14:564-569.
26. Davies AJ, Steen N, Kenny RA. Carotid sinus hypersensitivity is common in older patients presenting to an accident and emergency department with unexplained falls. Age Ageing. 2001;30:289-293.
27. Richardson DA, Bexton RS, Shaw FE, Kenny RA. Prevalence of cardioinhibitory carotid sinus hypersensitivity in patients 50 years or over presenting to the accident and emergency department with "unexplained" or "recurrent" falls. Pacing Clin Electrophysiol. 1997;20:820-823.
28. Kenny RA, Richardson DA, Steen N, Bexton RS, Shaw FE, Bond J. Carotid sinus syndrome: a modifiable risk factor for nonaccidental falls in older adults (SAFE PACE). J Am Coll Cardiol. 2001;38:1491-1496.
29. Brignole M, Menozzi C, Lolli C, Bottoni N, Gaggioli C. Long-term outcome of paced and nonpaced patients with severe carotid sinus syndrome. Am J Cardiol. 1992;69:1039-1043.
30. O'Shea D, Parry SW, Kenny RA. The Newcastle protocol for carotid sinus massage. J Am Geriatr Soc. 2001;49:236-237.
31. Munro NC, McIntosh S, Lawson J, Morley CA, Sutton R, Kenny RA. Incidence of complications after carotid sinus massage in older patients with syncope. J Am Geriatr Soc. 1994;42:1248-1251.
32. Richardson DA, Bexton R, Shaw FE, Steen N, Bond J, Kenny RA. Complications of carotid sinus massage - a prospective series of older patients. Age Ageing. 2000;29:413-417.
33. Davies AJ, Kenny RA. Frequency of neurologic complications following carotid sinus massage. Am J Cardiol. 1998;81:1256-1257.
34. Davies KN, Humphrey PR. Do carotid bruits predict disease of the internal carotid arteries? Postgrad Med J. 1994;70:433-435.
35. Gaggioli C, Brignole M, Menozzi C, et al. Reappraisal of the vasodepressor reflex in carotid sinus syndrome. Am J Cardiol. 1995;75:518-521.
36. Gregoratos G, Abrams J, Epstein AE, et al, for the American College of Cardiology/American Heart Association Task Force on Practice Guidelines/North American Society for Pacing and Electrophysiology Committee to Update the 1998 Pacemaker Guidelines. ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines). Circulation. 2002;106:2145-2161.
37. Dan D, Grubb BP, Mouhaffel AH, Kosinski DJ. Use of serotonin re-uptake inhibitors as primary therapy for carotid sinus hypersensitivity. Pacing Clin Electrophysiol. 1997;20:1633-1635.
38. Grubb BP, Samoil D, Kosinski D, Temesy-Armos P, Akpunonu B. The use of serotonin reuptake inhibitors for the treatment of recurrent syncope due to carotid sinus hypersensitivity unresponsive to dual chamber cardiac pacing. Pacing Clin Electrophysiol. 1994;17:1434-1436
39. Haidet P, Paterniti DA. "Building" a history rather than "taking" one: a perspective on information sharing during the medical interview. Arch Intern Med. 2003;163:1134-1140.