Open AccessUsefulness of implantable loop recorder in a patient with syncope during bathing
Author(s) -
Nakao Motohiro,
Kobayashi Satoru
Publication year - 2013
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2012.10.001
Subject(s) - medicine , implantable loop recorder , syncope (phonology) , carotid sinus , massage , bathing , sinus bradycardia , bradycardia , cardiology , blood pressure , anesthesia , sinus tachycardia , sick sinus syndrome , heart rate , atrial fibrillation , alternative medicine , pathology
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.