Usefulness of implantable loop recorder in a patient with syncope during bathing

A 27-year-old man presented to our hospital with a 1-year-hisory of repeated syncope, which particularly occurred while bathing or on a hot day. The head-up tilt test did not induce arrhythmia; however, blood pressure decreased by 39 mm Hg without any symptoms. Given that no bradycardia/tachycardia...

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Main Authors: Motohiro Nakao, MD, Satoru Kobayashi, MD
Format: Article
Language:English
Published: Wiley 2013-02-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427612001391
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author Motohiro Nakao, MD
Satoru Kobayashi, MD
author_facet Motohiro Nakao, MD
Satoru Kobayashi, MD
author_sort Motohiro Nakao, MD
collection DOAJ
description A 27-year-old man presented to our hospital with a 1-year-hisory of repeated syncope, which particularly occurred while bathing or on a hot day. The head-up tilt test did not induce arrhythmia; however, blood pressure decreased by 39 mm Hg without any symptoms. Given that no bradycardia/tachycardia was induced on electrophysiological study and carotid sinus massage, an implantable loop recorder (ILR) was implanted. After 2 months, syncope again occurred during bathing at midnight. Sinus arrest and a maximum ventricular pause of 10.2 s were documented using the ILR. After pacemaker implantation, the patient had not experienced syncope for 14 months.
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spelling doaj.art-0de5607ded6e4aa3a43aede21f9219752022-12-22T00:59:20ZengWileyJournal of Arrhythmia1880-42762013-02-01291343610.1016/j.joa.2012.10.001Usefulness of implantable loop recorder in a patient with syncope during bathingMotohiro Nakao, MDSatoru Kobayashi, MDA 27-year-old man presented to our hospital with a 1-year-hisory of repeated syncope, which particularly occurred while bathing or on a hot day. The head-up tilt test did not induce arrhythmia; however, blood pressure decreased by 39 mm Hg without any symptoms. Given that no bradycardia/tachycardia was induced on electrophysiological study and carotid sinus massage, an implantable loop recorder (ILR) was implanted. After 2 months, syncope again occurred during bathing at midnight. Sinus arrest and a maximum ventricular pause of 10.2 s were documented using the ILR. After pacemaker implantation, the patient had not experienced syncope for 14 months.http://www.sciencedirect.com/science/article/pii/S1880427612001391Neurally mediated syncopeImplantable loop recorderBathingSinus arrest
spellingShingle Motohiro Nakao, MD
Satoru Kobayashi, MD
Usefulness of implantable loop recorder in a patient with syncope during bathing
Journal of Arrhythmia
Neurally mediated syncope
Implantable loop recorder
Bathing
Sinus arrest
title Usefulness of implantable loop recorder in a patient with syncope during bathing
title_full Usefulness of implantable loop recorder in a patient with syncope during bathing
title_fullStr Usefulness of implantable loop recorder in a patient with syncope during bathing
title_full_unstemmed Usefulness of implantable loop recorder in a patient with syncope during bathing
title_short Usefulness of implantable loop recorder in a patient with syncope during bathing
title_sort usefulness of implantable loop recorder in a patient with syncope during bathing
topic Neurally mediated syncope
Implantable loop recorder
Bathing
Sinus arrest
url http://www.sciencedirect.com/science/article/pii/S1880427612001391
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