Kosinski D, Grubb B P, Karas B J, Frederick S
Department of Medicine, Medical College of Ohio, Toledo 43614-5809, USA.
Europace. 2000 Jan;2(1):77-82. doi: 10.1053/eupc.1999.0065.
The evaluation of syncope occurring during exercise or occurring spontaneously in highly trained individuals presents a unique diagnostic challenge. It is of critical importance to exclude potential life-threatening disorders such as hypertrophic cardiomyopathy, long QT syndrome, right ventricular dysplasia, anomalous coronary artery distribution, valvular heart disease, myocarditis, or exercise-induced arrhythmia. This review is not directed towards identifying, treating, or determining athletic eligibility of individuals with such disorders. Rather, we endeavour to discuss the pathophysiology of exercise-induced neurocardiogenic syncope and to address the role of head upright tilt testing in evaluating syncope in athletic individuals in whom proper evaluation has excluded the presence of ischaemic heart disease or primary structural or electrical heart disease.
对训练有素的个体在运动期间或自发发生的晕厥进行评估，提出了一项独特的诊断挑战。排除潜在的危及生命的疾病，如肥厚型心肌病、长QT综合征、右心室发育不良、冠状动脉分布异常、瓣膜性心脏病、心肌炎或运动诱发的心律失常，至关重要。本综述并非旨在识别、治疗或确定患有此类疾病的个体的运动资格。相反，我们致力于讨论运动诱发的神经心源性晕厥的病理生理学，并探讨头直立倾斜试验在评估已排除缺血性心脏病或原发性结构性或电性心脏病的运动员晕厥中的作用。
