A patient with recurrent syncope and ST-elevation on the electrocardiogram | Zendy

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A patient with recurrent syncope and ST-elevation on the electrocardiogram

Author(s) -

Nancy Colman

Publication year - 2004

Publication title -

ep europace

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.119

H-Index - 102

eISSN - 1532-2092

pISSN - 1099-5129

DOI - 10.1016/j.eupc.2004.03.003

Subject(s) - syncope (phonology) , vasovagal syncope , medicine , bradycardia , chest pain , anesthesia , cardiology , tilt table test , nifedipine , heart rate , blood pressure , calcium

A 56-year old woman had over 100 episodes of syncope since the age of 8. Because the patient's description of the episodes suggested vasovagal syncope she was studied by a head up tilt test (HUT). Seconds after the uncomplicated HUT the patient experienced a typical syncope with bradycardia, marked ST-elevation and chest pain. After treatment with nifedipine she has had one syncopal spell in a follow up period of 31 months. We conclude that the syncopal events in this patient were caused by a combination of vasovagal syncope and coronary spasm.

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