Treatment of malignant neurocardiogenic vasovagal syncope with a rate drop algorithm in dual chamber cardiac pacing

被引：19

作者：

Abe, H ^{[1
]}

Iwami, Y ^{[1
]}

Nagatomo, T ^{[1
]}

Miura, Y ^{[1
]}

Nakashima, Y ^{[1
]}

机构：

[1] Univ Occupat & Environm Hlth, Dept Internal Med 2, Yahatanishi Ku, Kitakyushu, Fukuoka 8078555, Japan

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1998年 / 21卷 / 07期

关键词：

rate drop response algorithm; pacemaker; malignant vasovagal syncope; head-up tilt;

D O I：

10.1111/j.1540-8159.1998.tb00220.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 29-year-old man with malignant vasovagal syncope presented with episodes of abrupt loss of consciousness associated with an aura, totaling more than 10 episodes over 3 months. Holter monitoring showed cardiac arrest with a duration of 15 seconds. Oral propranolol and disopyramide therapy failed to prevent the syncope. A dual chamber pacemaker with a rate drop response algorithm successfully prevented the syncope but not the aura. There may be multifactors involved in the mechanism of this syndrome. The patient has returned to a normal active life. This rate drop algorithm is an effective therapy for the prevention of syncope in malignant vasovagal syncope.

引用

页码：1473 / 1475

页数：3

共 12 条

[1] Possible involvement of cerebral hypoperfusion as a trigger of neurally-mediated vasovagal syncope [J].