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Postgrad Med J 2000;76:164-165 doi:10.1136/pmj.76.893.164
  • Short report

Syncope after effort

  1. Martin D Lowe,
  2. Michael C Petch
  1. Cardiac Unit, Papworth Hospital, Papworth Everard, Cambridge CB3 8RE, UK
  1. Dr MC Petch
  • Received 21 April 1999
  • Accepted 18 August 1999

Abstract

A 29-year-old man developed recurrent syncope following exertion. Cardiac investigations revealed no evidence of structural heart disease, but during exercise testing, in the recovery phase, he sustained a bradycardia and then asystole for a prolonged period. Before cardiac massage could be instituted a tonic-clonic fit occurred, and this initiated a return to sinus rhythm. His symptoms were abolished following the implantation of a dual-chamber pacemaker.

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