College Soccer Player With Exercise-induced Lightheadedness - Page #1

Author: Jesse Coenen, MD
Co Author #1: Ed Reisman, MD
Co Author #2: Barb Brandon, MD
Co Author #3: Cheree Sauer ATC
Editor: Marissa Vasquez Machuca, MD, MBA

Patient Presentation:
Nineteen year old female Division III college soccer player has experienced exercise-induced headache and lightheadedness for the past one year, as well as two episodes of presyncope (pallor, diaphoresis, vision blackout) while standing still.

The athlete's past medical history was negative for cardiovascular disease. Past medical history is significant for non-Hodgkins lymphoma in remission. There was no family history of exercise intolerance or sudden death. Her only medication was combined oral contraceptive pill.

Physical Exam:
The athlete appeared well. Heart rate (HR) 71 and regular. Blood pressure (BP) 118/72. Cardiac auscultation revealed normal S1 and S2 with no murmurs. Point of maximal impact was non-displaced. 2+ peripheral pulses. Lungs clear to auscultation bilaterally. Neuro exam revealed no abnormalities.

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