Recurrent syncopal episodes of neurocardiogenic origin in a patient suffering from cardiac syndrome-X.

Abstract:

:We describe the case of a 44-year-old man, with a history of recurrent syncopal episodes and effort angina, the latter attributed to cardiac syndrome-X, who was admitted to our department because of a syncopal episode. During his hospitalization laboratory investigations including haematologic and blood chemical findings, head C/T scan, electroencephalogram, 48-hour Holter monitoring, electrophysiologic testing and echocardiographic study disclosed no abnormalities. On the contrary, a passive upright tilt testing was found to be positive, resulting, approximately, in a 10-seconds time interval of asystole accompanied by syncope. The association in the same patient of cardiac syndrome-X and neurocardiogenic syncope, although never described before, might be explained by a similar pathophysiological mechanism, which is a sympathovagal imbalance.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Rentoukas EI,Lazaros GA,Deftereos SG,Zacharoulis AA

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

89-91

issue

2

eissn

0001-5385

issn

1784-973X

journal_volume

54

pub_type

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