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Updated: Aug 5, 2026

Quantitative Autonomic Testing
Published on: July 19, 2011
[Exercise-induced syncope]
G Vizmanos Lamotte1, J Mercé Klein, C Richart Jurado
1Servicio de Pediatría, Hospital Universitari Joan XXIII, Tarragona. gvizmanos@mixmail.com
Abstract:
When faced with a patient with exercise-induced syncope, it is important to exclude heart disease. Nevertheless, neurally-mediated syncopes should be taken into account in the differential diagnosis and the tilt table test is essential to establish this diagnosis. We report the case of an 11-year-old boy, who presented recurrent exercise-induced fainting. The results of cardiac and neurologic tests were negative. The tilt table test with pharmacological challenge with isoproterenol infusion induced arterial hypotension and presyncope, and a diagnosis of neurally-mediated syncope was made. After initiating beta-blocker treatment, the patient has remained asymptomatic during a follow-up of 10 months.
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