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Brief Reports |15 June 1994

Asystole after Exercise in Healthy Persons

Stefan Osswald, MD; Ross Brooks, MD; Sean S. O'Nunain, MD; Jay H. Curwin, MD; Marc Roelke, MD; Paul Radvany, MD; Jeremy N. Ruskin, MD; Brian A. McGovern, MD

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Copyright ©2004 by the American College of Physicians
2004
  • From Massachusetts General Hospital, Boston, Massachusetts; St. Peter's Hospital, Albany, New York. Requests for Reprints: Brian A. McGovern, MD, Cardiac Arrhythmia Service, Massachusetts General Hospital, 32 Fruit Street, Boston, MA 02114. Grant Support: Stefan Osswald is the recipient of a research fellowship granted by the Swiss Lichtenstein Foundation.
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Exercise-related syncope is infrequent in healthy persons, although vasodepressor syncope reproduced by positive head-up tilt testing has been reported in small series of healthy persons [1] and athletes [2] with syncope after exercise. Whether vasodepressor syncope may also occur during exercise is controversial and is now an issue of public debate [3]. Asystole after exercise is an extremely rare finding in healthy persons, and single cases without clear proof of the underlying mechanisms have been reported during the past 20 years [4-7]. We describe three patients with recurrent exercise-related syncope in whom prolonged asystole after exercise was documented. Positive head-up tilt table testing in all three patients suggested neurocardiogenic syncope as the underlying mechanism.
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Osswald S, Brooks R, O'Nunain SS, Curwin JH, Roelke M, Radvany P, et al. Asystole after Exercise in Healthy Persons. Ann Intern Med. 1994;120:1008–1011. doi: 10.7326/0003-4819-120-12-199406150-00007

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Published: Ann Intern Med. 1994;120(12):1008-1011.

DOI: 10.7326/0003-4819-120-12-199406150-00007

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