Syncope during sports participation may serve as the first manifestation of cardiovascular disease that poses a risk for athletic training and competition. Other causes of syncope (vasovagal, dehydration) during physical activity may be more benign. The athlete who faints during sports deserves a comprehensive diagnostic evaluation that addresses the wide-ranging differential diagnosis involved. The case of a 14-year-old male with two syncopal spells during athletic training is presented to review the components of such a workup and subsequent management implications.
T.W. Rowland is with the Dept. of Pediatrics at Baystate Medical Center, Springfield, MA 01199. R.C. McFaul is with the Dept. of Pediatrics at Maine Medical Center, Portland, ME 04102. D.A. Burton is with the Dept. of Pediatrics at St. Christopher’s Hospital for Children, Philadelphia, PA 19134.