Usefulness of implantable loop recorder in a patient with syncope during bathing

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...

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Main Authors: Motohiro Nakao, MD, Satoru Kobayashi, MD
Format: Article
Language:English
Published: Wiley 2013-02-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427612001391
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spelling doaj-0de5607ded6e4aa3a43aede21f9219752020-11-24T20:49:04ZengWileyJournal of Arrhythmia1880-42762013-02-01291343610.1016/j.joa.2012.10.001Usefulness of implantable loop recorder in a patient with syncope during bathingMotohiro Nakao, MDSatoru Kobayashi, MDA 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.http://www.sciencedirect.com/science/article/pii/S1880427612001391Neurally mediated syncopeImplantable loop recorderBathingSinus arrest
collection DOAJ
language English
format Article
sources DOAJ
author Motohiro Nakao, MD
Satoru Kobayashi, MD
spellingShingle Motohiro Nakao, MD
Satoru Kobayashi, MD
Usefulness of implantable loop recorder in a patient with syncope during bathing
Journal of Arrhythmia
Neurally mediated syncope
Implantable loop recorder
Bathing
Sinus arrest
author_facet Motohiro Nakao, MD
Satoru Kobayashi, MD
author_sort Motohiro Nakao, MD
title Usefulness of implantable loop recorder in a patient with syncope during bathing
title_short Usefulness of implantable loop recorder in a patient with syncope during bathing
title_full Usefulness of implantable loop recorder in a patient with syncope during bathing
title_fullStr Usefulness of implantable loop recorder in a patient with syncope during bathing
title_full_unstemmed Usefulness of implantable loop recorder in a patient with syncope during bathing
title_sort usefulness of implantable loop recorder in a patient with syncope during bathing
publisher Wiley
series Journal of Arrhythmia
issn 1880-4276
publishDate 2013-02-01
description 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.
topic Neurally mediated syncope
Implantable loop recorder
Bathing
Sinus arrest
url http://www.sciencedirect.com/science/article/pii/S1880427612001391
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