Pacemaker Benefit in a Patient with Vasovagal Syncope with Asystole
Rose Mary Ferreira Lisboa da Silva, Margarida Maria da Costa Smith Maia
Cardiology and Angiology: An International Journal · pp. 1–6 · Published 12 Jul 2016
10.9734/CA/2016/26865Abstract
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.
References (8)
- 1 ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease [DOI]
- 2 2015 Heart Rhythm Society Expert Consensus Statement on the Diagnosis and Treatment of Postural Tachycardia Syndrome, Inappropriate Sinus Tachycardia, and Vasovagal Syncope [DOI]
- 3 Pacemaker Therapy for Prevention of Syncope in Patients With Recurrent Severe Vasovagal Syncope [DOI]
- 4 The North American vasovagal pacemaker study (VPS) [DOI]
- 5 Pacemaker Therapy in Patients With Neurally Mediated Syncope and Documented Asystole [DOI]
- 6 Permanent Cardiac Pacing Versus Medical Treatment for the Prevention of Recurrent Vasovagal Syncope [DOI]
- 7 Adams-Stokes attack as the first symptom of acute rheumatic fever: report of an adolescent case and review of the literature [DOI]
- 8 Tilt testing is more cost-effective than implantable loop recorder monitoring as a means of directing pacing therapy in people with recurrent episodes of suspected vasovagal syncope that affect their quality of life or present a high risk of injury [DOI]
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