TY - JOUR PY - 1989// TI - Asystole with syncope secondary to hyperventilation in three young athletes JO - Pacing and clinical electrophysiology A1 - Buja, G. A1 - Folino, A. F. A1 - Bittante, M. A1 - Canciani, B. A1 - Martini, B. A1 - Miorelli, M. A1 - Tognin, D. A1 - Corrado, D. A1 - Nava, A. SP - 406 EP - 412 VL - 12 IS - 3 N2 - We describe three athletes who had syncope after (case 1) or during (cases 2, 3) hyperventilation. During the episode, ECG showed prolonged sinus arrest. Clinical data and noninvasive investigations were normal and the phenomenon was not reproducible. Electrophysiological study after autonomic blockade allowed a prolonged intrinsic heart rate in case 1, and abnormal corrected sinus node recovery time in cases 1 and 2. During follow-up, symptomatic sinus arrest provoked by deep inspiration occurred in case 3. These cases document prolonged asystole of unknown etiology, secondary to hyperventilation, and probably caused by different vagally-mediated mechanisms.

Language: en

LA - en SN - 0147-8389 UR - http://dx.doi.org/ ID - ref1 ER -