Exertional syncope

Evidence-based neurology checklist on exertional syncope: Cardiac causes Aortic stenosis Hypertrophic cardiomyopathy Long QT syndrome Right ventricular dysplasia Anomalous coronary artery distribution Valvular heart disease e.g. aortic stenosis Myocarditis Exercise-induced arrhythmia Coronary…

Cardiac causes

  • Aortic stenosis
  • Hypertrophic cardiomyopathy
  • Long QT syndrome
  • Right ventricular dysplasia
  • Anomalous coronary artery distribution
  • Valvular heart disease e.g. aortic stenosis
  • Myocarditis
  • Exercise-induced arrhythmia
  • Coronary artery disease
  • Aortic arch disease
  • Congenital heart disease
  • Takayasu disease
  • Pulmonary hypertension

Non-cardiac causes

Pathogenesis

Clinical features

References

  1. Bruni J. Episodic impairment of consciousness. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J. Neurology in Clinical Practice: Principles of Diagnosis and Management. Butterworth Heinemann Philadelphia p13.
  2. Herman A, Bennett MT, Chakrabarti S, Krahn AD. Life threatening causes of syncope: channelopathies and cardiomyopathies. Auton Neurosci 2014; 184:53-59.
  3. Kosinski D, Grubb BP, Karas BJ, Frederick S. Exercise-induced neurocardiogenic syncope: clinical data, pathophysiological aspects, and potential role of tilt table testing. Europace 2000; 2:77-82.
  4. Sneddon JF, Scalia G, Ward DE, McKenna WJ, Camm AJ, Frenneaux MP. Exercise induced vasodepressor syncope. Br Heart J 1994; 71:554-557.
  5. Adeoye AM, Adekunle AN, Adebiyi AA, Mullassari A, Vijayakumar S, Nwafor CE. A 45-year old man with recurrent syncope: an unusual presentation of coronary artery disease. Pan Afr Med J 2013; 14:71.
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