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Journal
2008 | 3 | 4 | 505-509
Article title

Young syncopal man and decision about permanent cardiac pacing

Content
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Languages of publication
EN
Abstracts
EN
A 20-year old man experienced recurrent syncope, that suggested a partially neutrally-mediated mechanism, but in some cases were without a prodrome. The tilt test was negative. The 12-lead ECG and electrophysiological study showed first-degree AV block. Syncope in bradyarrhythmia was suspected and an implantable loop recorder was indicated. In the first month after implantation the patient experienced one syncopal episode. In the stored ECG, AV junctional rhythm was detected. The patient received a pacemaker and symptoms improved.
Publisher

Journal
Year
Volume
3
Issue
4
Pages
505-509
Physical description
Dates
published
1 - 12 - 2008
online
22 - 10 - 2008
Contributors
  • Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Sterling Str. 1/3, 91-425, Lodz, Poland, mlelonek@poczta.fm
author
  • Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Sterling Str. 1/3, 91-425, Lodz, Poland
author
  • Department of Cardiology, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Sterling Str. 1/3, 91-425, Lodz, Poland
References
  • [1] Brignole M., Alboni P., Benditt D., Bergfeldt L., Blanc J.J., Thomsen P.E., et al., Guidelines on management (diagnosis and treatment) of syncope-update 2004. Executive summary, Eur. Heart J., 2004, 25, 2054–72
  • [2] Strickberger S.A., Benson D.W., Biaggioni I., Callans D.J., Cohen M.I., Ellenbogen K.A., et al., AHA/ACCF Scientific Statement on the evaluation of syncope: from the American Heart Association Councils on Clinical Cardiology, Cardiovascular Nursing, Cardiovascular Disease in the Young, and Stroke, and the Quality of Care and Outcomes Research Interdisciplinary Working Group; and the American College of Cardiology Foundation: in collaboration with the Heart Rhythm Society: endorsed by the American Autonomic Society, Circulation, 2006, 113, 316–27 http://dx.doi.org/10.1161/CIRCULATIONAHA.105.170274[Crossref]
  • [3] Assar M., Krahn A., Klein G., Yee R., Skanes A., Optimal duration of monitoring in patients with unexplained syncope. Am. J. Cardiol., 2003, 92, 1231–1233 http://dx.doi.org/10.1016/j.amjcard.2003.07.042[Crossref]
  • [4] Krahn A., Klein G., Yee R., Hoch J., Skanes A., Cost implications of testing strategy in patients with syncope: randomized assessment of syncope trial, J. Am. Coll. Cardiol., 2003, 42, 495–501 http://dx.doi.org/10.1016/S0735-1097(03)00659-4[Crossref]
  • [5] Sagrista-Sauleda J., Romero-Ferrer B., Moya A., Permanyer-Miralda G., Soler-Soler J., Variations in diagnostic yield of head-up tilt test and electrophysiology in groups of patients with syncope of unknown origin, Eur. Heart J., 2001, 22, 857–865 http://dx.doi.org/10.1053/euhj.2000.2398[Crossref]
  • [6] Fujimura O., Yee R., Klein G., Sharma A., Boahene K, The diagnostic sensitivity of electrophysiologic testing in patients with syncope caused by transient bradycardia, N. Engl. J. Med., 1989, 321, 1703–1707
  • [7] Vardas P.E., Auricchio A., Blanc J.J., Daubert J.C., Drexler H., Ector H., et al., Guidelines for cardiac pacing and cardiac resynchronization therapy. The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in Collaboration with the European Heart Rhythm Association, Eur. Heart J., 2007, 28, 2256–2295 http://dx.doi.org/10.1093/eurheartj/ehm305[Crossref]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0033-y
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