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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Format: | Article |
Language: | English |
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Wiley
2013-02-01
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Series: | Journal of Arrhythmia |
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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. |
first_indexed | 2024-12-11T15:59:51Z |
format | Article |
id | doaj.art-0de5607ded6e4aa3a43aede21f921975 |
institution | Directory Open Access Journal |
issn | 1880-4276 |
language | English |
last_indexed | 2024-12-11T15:59:51Z |
publishDate | 2013-02-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Arrhythmia |
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 |
work_keys_str_mv | AT motohironakaomd usefulnessofimplantablelooprecorderinapatientwithsyncopeduringbathing AT satorukobayashimd usefulnessofimplantablelooprecorderinapatientwithsyncopeduringbathing |