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. Author manuscript; available in PMC: 2015 Mar 1.
Published in final edited form as: Eur J Appl Physiol. 2013 Nov 7;114(3):561–578. doi: 10.1007/s00421-013-2761-1

TABLE 2. COMPILATION OF PROSPECTIVE STUDIES ON POST-EXERCISE SYNCOPE.

Prospective studies in which pre-syncopal rates during head-up tilt or tolerance to lower body negative pressure were assessed during recovery from exercise.

Reference Exercise Environment Incidence
1 Moderate-intensity exercise
Mayerson, 1944 10 min cycling @ 45 w 24 to 32°C 54% pre-syncopal; 60 to 75 head-up tilt [15 min]
Gratze et al., 2008 42.2 km marathon 20°C, 78% humidity 27% pre-syncopal; active standing [6 min]
Privett et al., 2010a 42.2 km marathon 10 to 11°C, light rain 10% pre-syncopal; active standing [3 min]
Murrell et al., 2009 4.5 h running @ 70–80% maximal heart rate 15°C, 72% humidity 81% pre-syncopal; 60 head-up tilt [15 min]
Eichna et al., 1947a 51.5 km hike with pack “Moderately warm” 54% pre-syncopal; 70 head-up tilt [5 min]
Holtzhausen & Noakes, 1995 80 km ultra-marathon 14 to 25°C, 44 to 24% humidity 23% pre-syncopal; active standing [10 min]
2 High-intensity exercise
Brogdon & Hellebrandt, 1940 Brief “violent” exercise n/a 2 out of 3 pre-syncopal; active standing
Eichna et al., 1947a Maximal exercise for up to 5 min 23°C 58% pre-syncopal; 70 head-up tilt [5 min]
Bjurstedt et al., 1983 Graded maximal cycle test 21°C 83% pre-syncopal; 70 head-up tilt [6 min]
Privett et al., 2010b Graded maximal treadmill test 23°C 100% pre-syncopal; active standing [10 min]
Lacewell et al., 2013 Supra-maximal exercise for 1 min [modified Wingate test] 23°C, 40% humidity 58% pre-syncopal; 60 head-up tilt [15 min]
3 Exercise in the heat
Luft et al., 1976 2 h intermittent cycling @ 30% VO2max 50°C, 15% humidity Lower body negative pressure tolerance was reduced 31%
Shvartz et al., 1977 3 h bench stepping @ 40 w 39°C, 50% humidity 46% pre-syncopal; leaning upright against wall [20 min]
McCord et al., 2008 45 min running @ 50% VO2max 35°C, 30% humidity 53% pre-syncopal; 60 head-up tilt [15 min]
4 Exercise at altitude - No prospective studies
5 Resistance exercise - No prospective studies