Tags

Type your tag names separated by a space and hit enter

Prolonged ventricular asystole, sinus arrest, and paroxysmal atrial flutter-fibrillation: an uncommon presentation of vasovagal syncope.
Pacing Clin Electrophysiol. 2003 Apr; 26(4 Pt 1):914-7.PC

Abstract

We described a 55-year-old woman with recurrent syncope, complete atrioventricular (AV) block, sparsely scattered idioventricular beats lasting for 56 seconds, and long sinus arrest recorded during the syncopal episode. Paroxysmal atrial flutter-fibrillation was also presented during Holter electrocardiograph (ECG) monitoring without clinical symptom. During tilt test, atrial flutter with variable AV block was induced and the patient suddenly passed out. The vasovagal syncope was successfully treated with a DDD permanent pacemaker with a rate drop response algorithm. Vasovagal syncope with concomitant ventricular asystole and sinus arrest is rare. Aggressive management with permanent pacemaker is strongly advocated in malignant vasovagal syncope.

Authors+Show Affiliations

Chou HH
Department of Cardiology, Chang Gung University, and Chang Gung Memorial Hospital-Linkou, Tao-Yuan, Taiwan.
Lin KH
No affiliation info available
Luqman N
No affiliation info available
Kuo CT
No affiliation info available

MeSH

Atrial FibrillationAtrial FlutterFemaleHeart ArrestHumansMiddle AgedPacemaker, ArtificialRecurrenceSyncope, Vasovagal

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

12715855

Citation

Chou, Hsin-Hua, et al. "Prolonged Ventricular Asystole, Sinus Arrest, and Paroxysmal Atrial Flutter-fibrillation: an Uncommon Presentation of Vasovagal Syncope." Pacing and Clinical Electrophysiology : PACE, vol. 26, no. 4 Pt 1, 2003, pp. 914-7.
Chou HH, Lin KH, Luqman N, et al. Prolonged ventricular asystole, sinus arrest, and paroxysmal atrial flutter-fibrillation: an uncommon presentation of vasovagal syncope. Pacing Clin Electrophysiol. 2003;26(4 Pt 1):914-7.
Chou, H. H., Lin, K. H., Luqman, N., & Kuo, C. T. (2003). Prolonged ventricular asystole, sinus arrest, and paroxysmal atrial flutter-fibrillation: an uncommon presentation of vasovagal syncope. Pacing and Clinical Electrophysiology : PACE, 26(4 Pt 1), 914-7.
Chou HH, et al. Prolonged Ventricular Asystole, Sinus Arrest, and Paroxysmal Atrial Flutter-fibrillation: an Uncommon Presentation of Vasovagal Syncope. Pacing Clin Electrophysiol. 2003;26(4 Pt 1):914-7. PubMed PMID: 12715855.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prolonged ventricular asystole, sinus arrest, and paroxysmal atrial flutter-fibrillation: an uncommon presentation of vasovagal syncope. AU - Chou,Hsin-Hua, AU - Lin,Kuo-Hung, AU - Luqman,Nazar, AU - Kuo,Chi-Tai, PY - 2003/4/29/pubmed PY - 2003/8/6/medline PY - 2003/4/29/entrez SP - 914 EP - 7 JF - Pacing and clinical electrophysiology : PACE JO - Pacing Clin Electrophysiol VL - 26 IS - 4 Pt 1 N2 - We described a 55-year-old woman with recurrent syncope, complete atrioventricular (AV) block, sparsely scattered idioventricular beats lasting for 56 seconds, and long sinus arrest recorded during the syncopal episode. Paroxysmal atrial flutter-fibrillation was also presented during Holter electrocardiograph (ECG) monitoring without clinical symptom. During tilt test, atrial flutter with variable AV block was induced and the patient suddenly passed out. The vasovagal syncope was successfully treated with a DDD permanent pacemaker with a rate drop response algorithm. Vasovagal syncope with concomitant ventricular asystole and sinus arrest is rare. Aggressive management with permanent pacemaker is strongly advocated in malignant vasovagal syncope. SN - 0147-8389 UR - https://www.unboundmedicine.com/medline/citation/12715855/Prolonged_ventricular_asystole_sinus_arrest_and_paroxysmal_atrial_flutter_fibrillation:_an_uncommon_presentation_of_vasovagal_syncope_ DB - PRIME DP - Unbound Medicine ER -