SYNCOPE ON EXERTION: RELATIONSHIP TO CORONARY ARTERY DISEASE
Authors: Hugo T. Engelhardt, William A. Sodeman
Journal: Annals of Internal Medicine (1945)

Article1 February 1945SYNCOPE ON EXERTION: RELATIONSHIP TO CORONARY ARTERY DISEASEHUGO T. ENGELHARDT, M.D., WILLIAM A. SODEMAN, M.D., F.A.C.P.HUGO T. ENGELHARDT, M.D.Search for more papers by this author, WILLIAM A. SODEMAN, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-22-2-225 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe physician, realizing that syncope is most commonly not cardiac in origin, often gives it little weight in cardiac diagnosis, unless bradycardia or extreme tachycardia is present. Relationship to physical effort is an additional circumstance which should particularly draw attention to the heart for an explanation.The termsyncopeimplies loss of consciousness due to cerebral ischemia. The essence of such an attack, ischemia, implies an inadequate flow of blood to the brain and one would look for an explanation, according to Lewis,1in a deficient input of blood into the heart, of vascular origin,precardiacin the sense that...Bibliography1. LEWIS T: Diseases of the heart described for practitioners and students, 3rd Ed., 1942, The Macmillan Company, New York. Google Scholar2. COOKSON H: Fainting and fits in cardiac infarction, Brit. Heart Jr., 1942, iv, 163. CrossrefGoogle Scholar3. BORGJOHNSON JFCE: Cardiac syncope, Am. Heart Jr., 1937, xiii, 88. CrossrefGoogle Scholar4. COMEAU WJ: A mechanism for syncopal attacks associated with paroxysmal auricular fibrillation, New England Jr. Med., 1942, ccxxvii, 134. CrossrefGoogle Scholar5. FERRISCAPPSWEISS EBRBS: Carotid sinus syncope and its bearing on the mechanism of the unconscious state and convulsions, Medicine, 1935, xiv, 377. CrossrefGoogle Scholar6. WEISSBAKER SJP: Carotid sinus reflex in health and disease, Medicine, 1933, xii, 297. CrossrefGoogle Scholar7. WHITE PD: Heart disease, 2nd Ed., 1942, The Macmillan Company, New York. Google Scholar8. GALLAVARDIN L: Angine de poitrine et syndrome de Stokes-Adams: acces angineux a forme syncopal, Presse méd., 1922, xxx, 755. Google Scholar9. GALLAVARDINROUGIER LZ: Acces d'angine de poitrine avec hypotension arterielle extreme et accidents nerveux syncopaux et epileptiformes, Paris méd., 1928, ii, 15. Google Scholar10. GALLAVARDIN BL: Syncopes d'effort dans le retrecissement aortique, Médecine, 1935, xvi, 197. Google Scholar11. MATHIEUHERBEUVAL L: Syncope d'effort et retrecissement aortique, Rev. méd. de Nancy, 1938, lxvi, 706. Google Scholar12. GRAVIER L: Syncope d'effort au cours d'acces angineux et retrecissement aortique, Jr. méd. de Lyon, 1936, xvii, 615. Google Scholar13. HALBRONLENORMANDPONCET PJG: Angor syncopal a repetition, Paris méd., 1937, ii, 269. Google Scholar14. WILLIUS TA: A clinical study of aortic stenosis, Proc. Staff Meet. Mayo Clin., 1927, ii, 123. Google Scholar15. MCGINNWHITE SPD: Clinical observations in aortic stenosis, Am. Jr. Med. Sci., 1934, clxxxviii, 1. CrossrefGoogle Scholar16. CONTRATTOLEVINE AWSA: Aortic stenosis with special reference to angina pectoris and syncope, Ann. Int. Med., 1937, x, 1636. Google Scholar17. BOAS EB: Aortic stenosis, angina pectoris, and heart block as symptoms of calcareous stenosis, Am. Jr. Med. Sci., 1935, cxc, 376. CrossrefGoogle Scholar18. LAPLACE LB: Aortic valve diseases, relationship to angina pectoris, Am. Heart Jr., 1933, viii, 810. CrossrefGoogle Scholar19. MARVINSULLIVAN HMAG: Clinical observations upon syncope and sudden death in aortic stenosis, Am. Heart Jr., 1935, x, 705. CrossrefGoogle Scholar20. WEISSCAPPSFERRISMUNRO SRBEBD: Syncope and convulsions due to a hyperactive carotid sinus reflex, Arch. Int. Med., 1936, lviii, 407. CrossrefGoogle Scholar21. GUPTA JC: A syncopal form of angina pectoris, Indian Med. Gaz., 1937, lxxii, 295. Google Scholar22. SODEMANENGELHARDT WAHT: The causes of syncope with special reference to the heart, New Orleans Med. and Surg. Jr. (to be published). Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New Orleans, Louisiana*Received for publication March 17, 1944.From the School of Medicine, Tulane University of Louisiana, New Orleans. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 February 1945Volume 22, Issue 2Page: 225-233KeywordsBloodBradycardiaBrainCerebral ischemiaHeartIschemiaLoss of consciousnessStable coronary artery diseaseSyncopeTachycardia ePublished: 1 December 2008 Issue Published: 1 February 1945 PDF downloadLoading ...