File | |
language |
eng
|
Attribute |
Case Report
|
Author |
Shinen, Toshiya
Ohira, Hiroshi
|
Description | An 80-year-old man was urgently transported because of unconsciousness. On admission, the chest electrocardiogram showed a negative T-wave; there was a high possibility of cardiac syncope. No disorder was detected on coronary angiography or on cardiac electrophysiological study. Although he was diagnosed as having coronary spastic angina, a loop recorder was implanted because syncope didn’t occur during acetylcholine load test. Syncope occurred again, a loop recorder detected increasing ST elevation and atrioventricular junctional rhythm without high infrequent pulse or tachyarrhythmia. Decreased blood pressure and syncope due to Bezold-Jarisch reflex with coronary vasospasm was strongly suspected. With benidipine and nicorandil, he was discharged without recurrence of syncope for 3 years thereafter.
|
Subject | syncope
coronary spastic angina
Bezold-Jarisch reflex
implantable loop recorder
calcium channel blocker
|
Journal Title |
Shimane Journal of Medical Science
|
Volume | 36
|
Issue | 1
|
Start Page | 23
|
End Page | 28
|
ISSN | 03865959
|
ISSN(Online) | 24332410
|
Published Date | 2019-06
|
NCID | AA00841586
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Publisher | Faculty of Medicine, Shimane University
|
Publisher Aalternative | 島根大学医学部
|
NII Type |
Departmental Bulletin Paper
|
Format |
PDF
|
Rights | Faculty of Medicine, Shimane University
|
Text Version |
出版社版
|
OAI-PMH Set |
Faculty of Medicine
|
他の一覧 |