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October 11th, 2006, 15:01 GMT · By Alexandra Lupu

Why Do People Faint after Strenuous Physical Activity

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A recent study run by researchers at the University of Oregon showed that strenuous exercise leads to fainting because of the overactivation of two histamine receptors in our bodies. Heightened levels of exercising make a large number of people pass out, and this
does not refer only to people who are not usually active, but also highly to trained athletes.

Most of the individuals faint after high-levels of physical activity, when at exertion, because their blood pressure becomes lower and the blood flow to the brain also decreases. Passing out after exercising intensely is a condition known in medical terms as 'syncope' and may be one of the earliest signs of heart problems.

"There is reason to believe that histamine is the primary vasodilator contributing to post-exercise hypotension, but we cannot say for certain. Some people have problems regulating blood pressure during and after exercise. Trained athletes have had fainting bouts at the end of exercise. It may be that these result from a natural overactivation of these two receptors for histamine," explained lead researcher John R. Halliwill, Professor of Human Physiology at the University of Oregon.

Researchers found that the two histamine receptors which cause blood flow and blood pressure to become lower after training strenuously and bring about fainting are known as H1 and H2. But the passing out phenomenon occurring when people become exerted after intense exercising can be avoided by using two commonly known antihistamines prior to the physical activity. The two antihistamines are fexofenadine for the H1 histamine receptor and ranitidine, which works against the H2 receptor.

On the other hand, researchers also pinpointed the fact that maintaining the two histamine receptors normal throughout the training period might also be beneficial for the individual, as it may play an important role in the reduction of high blood pressure if exercising regularly.

"Activating these receptors might be an important part of the health benefits of daily exercise. The body tends to be very good at recycling mechanisms. The body may be using these same receptors for other things. A bout of exercise appears to turn on a program for remodeling blood vessels in the body, and these receptors may be an important part of that program," said Halliwill.

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Comment #1 by: brad on 21 Sep 2009, 22:56 UTC reply to this comment

My cardiologist made me an ergometry that took me to 100% of my Hearth capacity, then he stopped the ergometer abruptly on purpose to see how my blood pressure drop was.

I almost fainted,my BP went from 20 to 10 in maybe less than a minute. Why did he do that? I couldn't ask on the clinic, he just said normally the test shouldn't be stopped abruptly and that I must do the same when exercising, not stopping abruptly.

Any ideas what the doctor wanted to do by this abrupt stop?


Comment #2 by: Angela on 24 Jun 2010, 00:39 UTC reply to this comment

I'm going to start playing tennis in school, I am not a very athletic person, i have never been enroll in any sports before but of course i had play sports in gym class.
Most of the time during or after exercises i get more tired and short of breath more quickly than my friends, my heart starts to race and i feel nearly passing out.
i have never passed out after exercises because i try to control my breathing by taking a break for one or 2 min and drinking water.

I am wondering if i could play tennis if that happens to me?
Is it risky for me to play tennis?
and what can i do to help it?


Comment #3 by: lenny on 16 Mar 2011, 01:30 UTC reply to this comment

More pictures of fainting people!

Comment #3.1 by: ATruman on 11 May 2011, 03:53 GMT

To Angela I have had the same problem since my early teens . I think my best advice to you is to know your limit. I will go to pilates and usually I am fine but on Occasion I can feel myself slipping into that feeling and I just simply have to leave. Same goes when I am riding my bike or playing tennis. I went to so many specialists over the years with no result. After 8 years and the same result I am pretty fed up with it. I am looking at seeing a Cardiologist for more extensive testing. I have been researching and googling this and have found many helpful things on Mayoclinic.com . One thing I am going to discuss with my doctor is the possibility of Hypertrophic Cardiomyopathy which symptoms are consistent to my own. It is rare and probably is not the case but since every symptom matches up I am going to look in to it to be sure. I understand exactly how frustrating it is and hopefully we will both find the source.


Comment #4 by: Bob on 14 Jun 2011, 23:16 UTC reply to this comment

I train regularly for 3-5 days a week.one day after a hard training session I was very tired nd my eye sight went blurry I sat down for a few minuates felt exhausted then my friend asked me to help him read da scales I went out with him nd my eye sight went very blurry I walked a couple of steps nd next thing I knew my friend was lieing me on the ground that never happened before if anyone can help me with an explanation that would be great

Comment #4.1 by: Worried_Dad on 18 Jun 2011, 02:41 GMT

This just happened to my son today. He has been dieting over the past 6 months (loss 55 pounds). He is also recuperating from a case of mono that he had about 6 weeks ago. He will have tests over the next week or two. My understanding is that such spells can be common even among trained athletics and can stem from totally benign reasons to hypoglycemia reasons, to heart valve problems. Probably should get it checked out.


Comment #5 by: Eshannon on 28 Oct 2011, 18:56 UTC reply to this comment

This helped out a bit. I was going though a Spec-ops program in the military and I was very well trained for it. I ended up getting dropped from the program due to passing out during physical training. It still happens when I workout and it has actully gotten worse. I never got a whole lot of help from cardiology or any other doctors. This might help me find a solution. Thank you.


Comment #6 by: Wifey for Lifey on 23 Jan 2012, 10:51 UTC reply to this comment

so glad this was here today... it happened to my husband... he got of the stair climber and a few seconds later poof he hit the floor ...passed out cold and disoriented.
He had been working out for 2 years with no issues until last week he started taking
Ranitidine Hydrochloride oor Zantac 150 mg twice a day.
So he had a rather overdose like effect of ranitidine and passed out.... i watched him exercise and then he disappeared from view and fell over knocking a whole in the wall
thank you for this story oor we would not have any clue as to the real why it happened.

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