Sequential Use of Aminophylline and Theophylline for Temporizing Neck Cancer-Induced Carotid Sinus Syncope

Sequential Use of Aminophylline and Theophylline for Temporizing Neck Cancer-Induced Carotid Sinus Syncope

Carotid sinus syncope due to head and neck cancer is uncommon and the management is challenging. Permanent pacemaker implantation is generally considered but malnutrition with subsequent chemo-radiation increases the risk of device infection. This is a first case report of the sequential use of amin...

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Bibliographic Details
Main Authors: Takahiro Tsushima, MD, Anshul K. Badhwar, MD, Ankur Kalra, MD, Sergio G. Thal, MD, Judith A. Mackall, MD
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:JACC: Case Reports
Subjects:
aminophylline
carotid sinus syncope
neck cancer
pharmacological temporization
sequential use
theophylline
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919303705
Description
Summary:Carotid sinus syncope due to head and neck cancer is uncommon and the management is challenging. Permanent pacemaker implantation is generally considered but malnutrition with subsequent chemo-radiation increases the risk of device infection. This is a first case report of the sequential use of aminophylline and theophylline for pharmacological temporization. (Level of Difficulty: Advanced.)
ISSN:2666-0849

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