Article ; Online: Reflexsynkope – oder mehr? : Iktale Asystolie!
Innere Medizin (Heidelberg, Germany)
2022 Volume 63, Issue 10, Page(s) 1085–1091
Abstract: A 59-year-old male patient was admitted for possible reflex syncope following loss of consciousness during urination. During the visit, a malaise with unconsciousness occurred. Holter ECG at that time showed increasing sinus bradycardia with transition ... ...
Title translation | Reflex syncope-or more? : Ictal asystole! |
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Abstract | A 59-year-old male patient was admitted for possible reflex syncope following loss of consciousness during urination. During the visit, a malaise with unconsciousness occurred. Holter ECG at that time showed increasing sinus bradycardia with transition to a junctional escape rhythm (30/min); in addition, there were several sinus pauses > 2.0 s (the longest almost 10 s). This malaise occurred again during routine EEG, when a focal epileptic seizure on the right fronto-temporal with sinus bradycardia after 15 s was documented. Thus, the diagnosis of ictal asystole was made, anticonvulsant therapy was started, and a cardiac pacemaker was implanted. |
MeSH term(s) | Anticonvulsants/therapeutic use ; Arrhythmias, Cardiac/drug therapy ; Bradycardia/complications ; Electrocardiography ; Electroencephalography ; Heart Arrest/diagnosis ; Humans ; Male ; Middle Aged ; Reflex ; Seizures/complications ; Sick Sinus Syndrome/drug therapy ; Syncope, Vasovagal/diagnosis |
Chemical Substances | Anticonvulsants |
Language | German |
Publishing date | 2022-07-07 |
Publishing country | Germany |
Document type | Case Reports ; Journal Article |
ISSN | 2731-7099 |
ISSN (online) | 2731-7099 |
DOI | 10.1007/s00108-022-01374-0 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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