VASODEPRESSOR SYNCOPE IN A CARDIAC TRANSPLANT RECIPIENT - A CASE OF VAGAL REINNERVATION

被引:0
作者
RUDAS, L [1 ]
PFLUGFELDER, PW [1 ]
KOSTUK, WJ [1 ]
机构
[1] UNIV WESTERN ONTARIO,UNIV HOSP,DEPT MED,DIV CARDIOL,LONDON N6A 5A5,ONTARIO,CANADA
关键词
CARDIAC TRANSPLANTATION; REINNERVATION;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
At the time of hemodynamic assessment three years after cardiac transplantation, a patient developed symptoms and signs of a vasodepressor reaction. In addition to sudden deceleration of heart rate, a 26% fall in mean blood pressure and a 36% fall in cardiac output was observed. Subsequent investigations revealed the presence of respiratory sinus arrhythmia, profound heart rate acceleration on standing and an approximately normal heart rate response during the following exercise. Contrary to current thinking, these observations suggest-that certain individuals may develop autonomic re-innervation following orthotopic cardiac transplantation.
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页码:403 / 405
页数:3
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