Usefulness of implantable loop recorder in a patient with syncope during bathing

被引：4
|
作者：
Nakao, Motohiro [1 ]
Kobayashi, Satoru [1 ]
机构：
[1] Chibaken Saiseikai Narashino Hosp, Div Cardiol, 1-1-1 Izumicho, Narashino, Chiba 2758580, Japan
来源：
JOURNAL OF ARRHYTHMIA | 2013年 / 29卷 / 01期
关键词：
Neurally mediatedsyncope; Implantable loop recorder; Bathing; Sinus arrest;
D O I：
10.1016/j.joa.2012.10.001
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 27-year-old man presented to our hospital with a 1-year-hisory of repeated syncope, which particularly occurred while bathing or on a hot day. The head-up tilt test did not induce arrhythmia; however, blood pressure decreased by 39 mm Hg without any symptoms. Given that no bradycardia/tachycardia was induced on electrophysiological study and carotid sinus massage, an implantable loop recorder (ILR) was implanted. After 2 months, syncope again occurred during bathing at midnight. Sinus arrest and a maximum ventricular pause of 10.2 s were documented using the ILR. After pacemaker implantation, the patient had not experienced syncope for 14 months. (C) 2012 Japanese Heart Rhythm Society. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码：34 / 36
页数：3
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