| Diagnostic superiority of continuous-loop electrocardiographic recording over other testing in a patient with recurrent syncope and underlying coronary artery disease with severe left ventricular dysfunction. | |
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MedLine Citation:
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PMID: 11346252 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Dysrhythmic causes of syncope may elude diagnosis in postinfarction patients despite elaborate testing, including electrophysiologic study. For a correct diagnosis, capture of cardiac rhythm during patient's typical symptoms is crucial. This report describes a patient with coronary artery disease and decreased left ventricular ejection fraction who experienced recurrent syncopal episodes without obvious precipitating factors. The 12-lead electrocardiogram showed left bundle-branch block indicating a possible conduction abnormality as the underlying cause of syncope. Twenty-four-h Holter monitoring exhibited no sinus rhythm or conduction disturbances but revealed a nonsustained run of ventricular tachycardia. Findings at electrophysiologic testing led to a presumptive diagnosis of tachyarrhythmic cause of syncope; however, the correct diagnosis was only made with use of a loop monitor which documented a 15-s sinus pause during a syncopal episode. |
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Authors:
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J A Chiladakis; P Davlouros; E Simeonidou; A S Manolis |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical cardiology Volume: 24 ISSN: 0160-9289 ISO Abbreviation: Clin Cardiol Publication Date: 2001 May |
Date Detail:
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Created Date: 2001-05-10 Completed Date: 2001-09-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7903272 Medline TA: Clin Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 419-21 Citation Subset: IM |
Affiliation:
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Cardiology Division, Patras University Medical School, Rio, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Bradycardia / diagnosis* Coronary Disease / complications* Electrocardiography / methods* Humans Male Recurrence Syncope / etiology* Ventricular Dysfunction, Left / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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