This case is a nice illustration of an uncommonly severe vasovagal event post exercise. Athletes can be very frustrated by these symptoms and management can be difficult, but as rightly pointed out, it is through education and reassurance that patients get the most benefit. It also emphasises the vital importance of a careful history, family history and exercise test in excluding malignant cardiac channelopathies in such patients.

Seema Biswas
Editor-in-Chief

A pause for thought: exercise-induced sinus arrest causing syncope in a young male