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Cardiovascular Medicine
Volume 18
Issue 6
10.4414/cvm.2015.00335
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Case Report

Exercise-Induced Syncope—Not Always Due to the Worst Cause

by
Julien Regamey
1,2,3,*,
Karin Seiler
3,
Thilo Burkard
1,3 and
Michael Kühne
1
1
Kardiologie-Abteilung, Universitätsspital, Basel, Switzerland
2
Service de Cardiologie, Centre Hospitalier Vniversitaire Vaudois (CHUV), Lausanne, Switzerland
3
Medizinische Poliklinik, Universitätsspital, Basel, Switzerland
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2015, 18(6), 191; https://doi.org/10.4414/cvm.2015.00335
Submission received: 24 March 2015 / Revised: 24 April 2015 / Accepted: 24 May 2015 / Published: 24 June 2015
Versions Notes

Abstract

We report the case of a healthy 16-year-old ballet dancer with a history of three episodes of syncope during physical activity as the manifestation of an exercise-induced vasodepressor syncope. This diagnosis may be hard to demonstrate in clinical practice because of the potential poor reproducibility of the exercise test to provoke hypotension. Although most of the potentially fatal causes of exercise-induced syncope are usually well known and have a well-defined standard of care based on guidelines, vasodepressor type reflex syncope has only been described in a few case reports. The main mechanism seems to be an inappropriate peripheral vasodilation, which could be triggered by the activation of intraventricular mechanoreceptors sensitised by high circulating catecholamines in susceptible individuals.
Keywords: exercise-induced vasodepressor syncope; exercise-related syncope exercise-induced vasodepressor syncope; exercise-related syncope

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MDPI and ACS Style

Regamey, J.; Seiler, K.; Burkard, T.; Kühne, M. Exercise-Induced Syncope—Not Always Due to the Worst Cause. Cardiovasc. Med. 2015, 18, 191. https://doi.org/10.4414/cvm.2015.00335

AMA Style

Regamey J, Seiler K, Burkard T, Kühne M. Exercise-Induced Syncope—Not Always Due to the Worst Cause. Cardiovascular Medicine. 2015; 18(6):191. https://doi.org/10.4414/cvm.2015.00335

Chicago/Turabian Style

Regamey, Julien, Karin Seiler, Thilo Burkard, and Michael Kühne. 2015. "Exercise-Induced Syncope—Not Always Due to the Worst Cause" Cardiovascular Medicine 18, no. 6: 191. https://doi.org/10.4414/cvm.2015.00335

APA Style

Regamey, J., Seiler, K., Burkard, T., & Kühne, M. (2015). Exercise-Induced Syncope—Not Always Due to the Worst Cause. Cardiovascular Medicine, 18(6), 191. https://doi.org/10.4414/cvm.2015.00335

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