A patient with recurrent syncope and ST-elevation on the electrocardiogram

被引：4

作者：

Colman, N

Wieling, W

Wilde, AAM

机构：

[1] Univ Amsterdam, Acad Med Ctr, Dept Cardiol, NL-1105 AZ Amsterdam, Netherlands

[2] Univ Amsterdam, Acad Med Ctr, Dept Internal Med, NL-1105 AZ Amsterdam, Netherlands

来源：

EUROPACE | 2004年 / 6卷 / 04期

关键词：

syncope; ST-elevation; coronary spasm; hyperventilation;

D O I：

10.1016/j.eupc.2004.03.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 56-year old woman had over 100 episodes of syncope since the age of 8. Because the patient's description of the episodes suggested vasovagal syncope she was studied by a head up tilt test (HUT). Seconds after the uncomplicated HUT the patient experienced a typical syncope with bradycardia, marked ST-elevation and chest pain. After treatment with nifedipine she has had one syncopal spell in a follow up period of 31 months. We conclude that the syncopal events in this patient were caused by a combination of vasovagal syncope and coronary spasm. (C) 2004 Published by Elsevier Ltd on behalf of The European Society of Cardiology.

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收藏

页码：296 / 300

页数：5

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