Vasodilator therapy-induced pacemaker syndrome.

Abstract:

:Disabling presyncopal attacks were provoked in a patient with a sinus nodal disorder and cardiac pacemaker by treatment with antianginal vasodilators. At cardiac catheterization a severe fall in aortic pressure was documented during ventricular pacing, when desynchronized atrial contractions coincided with ventricular systoles. After withdrawal of the medication, no obvious changes in arterial pressure were associated with ventricular pacing, and the patient became free of dizziness. Vasodilating drugs may provoke episodic hypotension with characteristic features of the pacemaker syndrome.

journal_name

Chest

journal_title

Chest

authors

Toivonen LK,Pohjola-Sintonen S

doi

10.1378/chest.91.6.919

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

919-20

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)43180-0

journal_volume

91

pub_type

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