clinmedКлиническая медицинаClinical Medicine (Russian Journal)0023-21492412-1339ООО «Медицинское информационное агентство»10.30629/0023-2149-2024-102-3-268-272clinmed-789Research ArticleЗАМЕТКИ И НАБЛЮДЕНИЯ ИЗ ПРАКТИКИNOTES AND OBSERVATIONS FROM PRACTICEСинкопальное состояние у подростка, занимающегося спортомSyncope in children and adolescents in sports medicinehttps://orcid.org/0000-0002-2290-0013БалыковаЛ. А.BalykovaL. A.

Балыкова Лариса Александровна — член-корр. РАН, д-р мед. наук, профессор, директор медицинского института 

Саранск

Larisa A. Balykova — MD, Dr. of Sci. (Med.), professor, associate member of Russian Academy of Sciences

Saransk

larisabalykova@yandex.ruhttps://orcid.org/0000-0003-0087-4421ИвянскийС. А.IvyanskiyS. A.

Ивянский Станислав Александрович — канд. мед. наук, доцент, медицинский институт 

Саранск

Stanislav A. Ivyanskiy — MD, Cand. of Sci. (Med.), Associate Professor

Saransk

https://orcid.org/0009-0001-2030-1797СолдатовЮ. О.SoldatovYu. O.

Солдатов Юрий Олегович — канд. мед. наук, зав. отделением функциональной диагностики

Саранск

Yuri O. Soldatov — MD, Cand. of Sci. (Med.), Head of the Functional Diagnostic Department

Saransk

https://orcid.org/0000-0003-4401-8395ШаблиноваТ. С.ShablinovaT. S.

Шаблинова Татьяна Сергеевна — врач-кардиолог

Саратовская область

Tatyana S. Shablinova — cardiologist

Saratov region

https://orcid.org/0000-0002-9049-5662ШирманкинаМ. В.ShirmankinaM. V.

Ширманкина Марина Васильевна — ординатор кафедры педиатрии, медицинский институт 

Саранск

Marina V. Shirmankina — resident

Saransk

https://orcid.org/0009-0008-0564-9534ДуваяроваТ. М.DuvayarovaT. M.

Дуваярова Татьяна Михайловна — врач-педиатр, медицинский институт 

Саранск

Tatiana M. Duvayarova — pediatrician

Saransk

https://orcid.org/0009-0006-4098-6793ДурнайкинаД. В.DurnaikinaD. V.

Дурнайкина Диана Владимировна — студентка, медицинский институт 

Саранск

Diana V. Durnaikina — student

Saransk

https://orcid.org/0009-0006-4405-2162ШабунинаЮ. Н.ShabuninaYu. S.

Шабунина Юлия Николаевна — студентка, медицинский институт 

Саранск

Yulia N. Shabunina — student

Saransk

ФГБОУ ВО «Национальный исследовательский Мордовский государственный университет им. Н.П. Огарева»РоссияNational Research Mordovian State University named after N.P. OgaryovRussian FederationГБУЗ Республики Мордовия «Детская республиканская клиническая больница»РоссияChildren’s Republican Clinical HospitalRussian FederationГУЗ Саратовской области «Медико-санитарная часть городского округа ЗАТО Светлый»РоссияMedical and sanitary Unit of the urban district of closed administrative-territorial entity SvetlyRussian Federation2024020620241023268272Copyright © Балыкова Л.А., Ивянский С.А., Солдатов Ю.О., Шаблинова Т.С., Ширманкина М.В., Дуваярова Т.М., Дурнайкина Д.В., Шабунина Ю.Н., 20242024Балыкова Л.А., Ивянский С.А., Солдатов Ю.О., Шаблинова Т.С., Ширманкина М.В., Дуваярова Т.М., Дурнайкина Д.В., Шабунина Ю.Н.Balykova L.A., Ivyanskiy S.A., Soldatov Y.O., Shablinova T.S., Shirmankina M.V., Duvayarova T.M., Durnaikina D.V., Shabunina Y.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.clinmedjournal.com/jour/article/view/789

Приведен клинический случай нейромедиаторного обморока у подростка, занимающегося спортом. Дифференциальный ряд включал в себя следующие заболевания: кардиомиопатия, вызванная физическими факторами, дисфункция синусового узла, синдром слабости синусового узла. После проведения необходимых лабораторных и инструментальных методов исследования (ЭКГ, ЭхоКГ, суточное мониторирование ЭКГ, велоэргометрия) данные состояния были исключены. Пациент был выписан на амбулаторный этап с рекомендациями по немедикаментозной профилактике синкопальных состояний.

The clinical case of a neuro-mediated syncope episode in a sports-active adolescent is presented. The differential diagnosis included the following conditions: cardiomyopathy induced by physical factors, sinus node dysfunction, and sinus node weakness syndrome. After conducting necessary laboratory and instrumental investigations (ECG, echocardiography, 24-hour ECG monitoring, and exercise stress test), these conditions were excluded. The patient was discharged to outpatient care with recommendations for non-pharmacological syncope prevention.

 

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The authors declare that there are no conflicts of interest present.