Diagnosis and treatment of recurrent syncope in a middle-aged women

作者全名："He, Wenyi; Fu, Xin; Du, Xinyue; Deng, Guolan"

作者地址："[He, Wenyi; Fu, Xin; Du, Xinyue; Deng, Guolan] Chongqing Med Univ, Affiliated Hosp 1, Chongqing, Peoples R China"

通信作者："Deng, GL (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Chongqing, Peoples R China."

来源：ANNALS OF NONINVASIVE ELECTROCARDIOLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001159706100001

JCR分区：Q4

影响因子：1.1

年份：2024

卷号：29

期号：2

开始页：　

结束页：　

文献类型：Article

关键词：head-up tilt test; vagal ablation; vasovagal syncope; ventricular arrest

摘要："A 50-year-old female patient, presented with repeated syncope for more than 2 years. Prior assessments were conducted at different hospitals, but no definite abnormalities were found. The patient's fear and anxiety about possible future attacks were escalating. Through a Head-up tilt test, the cause was finally identified as vasovagal syncope. Following a 5-min administration of nitroglycerin, the patient reported palpitations, nausea, and deep, rapid breathing. The electrocardiogram initially showed a first-degree atrioventricular block, progressing swiftly to a second-degree type I atrioventricular block-high atrioventricular block. Immediate intervention was undertaken, but blood pressure was not instantly ascertainable, coinciding with an abrupt loss of consciousness. Subsequent electrocardiographic findings included paroxysmal third-degree atrioventricular block, sinus arrest, and complete cardiac arrest, prompting the initiation of external cardiac compressions. The longest recorded ventricular arrest approximated 15 s, with sinus rhythm resuming post 10 s of cardiac compressions and the patient regaining consciousness. The patient underwent vagal ablation and no longer experienced syncope. In this work, we report a rare case of vasovagal syncope presenting with ventricular arrest for approximately 15 s, which was successfully cured by cardiac nerve ablation.image"

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