Pacemaker Benefit in a Patient with Vasovagal Syncope with Asystole
Journal Title: Cardiology and Angiology: An International Journal - Year 2016, Vol 5, Issue 4
Abstract
A 49-year-old woman has had several episodes of syncope with pallor and diaphoresis since she was 13 years old. She had been diagnosed with rheumatic heart disease and was submitted to mitral and aortic valve replacement for mechanical prosthesis. She was submitted to a tilt table test with presyncope at the 2nd min, progressing to loss of consciousness and bradyarrhythmia followed by asystole. Due to persistent, asystole atropine was administered unsuccessfully. She underwent cardiac massage with recovery to sinus rhythm after 61.5 seconds, without sequelae. After about 2 h, when blood was collected for examination, she presented a new episode of consciousness loss with asystole and prompt response to heart massage. She was submitted to the implant of a dual chamber pacemaker. After a 36-month follow-up, she has not had any new episode of syncope.
Authors and Affiliations
Rose Mary Ferreira Lisboa da Silva, Margarida Maria da Costa Smith Maia
Keywords
Related Articles
- EP ID EP327658
- DOI 10.9734/CA/2016/26865
- Views 95
- Downloads 0
The Association of Vitamin D Levels with the Extent and Severity of Coronary Artery Disease
Aims: Vitamin D is known for its primary role in calcium and bone homeostasis and regulation of parathyroid hormone (PTH) secretion. There is increasing evidence for health benefits accomplished by activated vitamin D, t...
Carotid-radial Pulse Wave form and Velocity in Normotensive and Hypertensive Pregnant Women at University Teaching Hospital (UTH), Lusaka, Zambia
Background: Hypertensive disease in pregnancy continues to be one of the leading causes of maternal death. Pregnancy induced hypertension (PIH) is said to be accompanied by several cardiovascular pathophysiological chang...
Anomalous Right Coronary Artery in Stress Cardiomyopathy: Coincidental or Contributory?
We report a case of a 72-year-old female with no known comorbidities who presented with dizziness and dyspnea while exercising on a treadmill. Upon presentation in the hospital, she became hemodynamically unstable with m...
Aortic Pathologies and Pregnancy: A Special Focus on Connective Tissue Disorders
Pregnancy represents a physiological status which, due to clear and typical hormonal and hemodynamic changes, is frequently accompanied by a high morbidity of aortic structures, in all of its segments. Such morbidity mig...
One-year Follow-up of the Distribution of Dyslipidemias among Cameroonian Diabetic Patients in Ngaoundere, 2014-2015
Background: Diabetes constitutes an important faction of the health and economic burden worldwide and its occurrence continues to rise especially in developing countries. Aim: To study the distribution in dyslipidemia o...