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 information |
Shimane Journal of Medical Science
36
( 1
), 23
- 28
, 2019-06
|
Publisher | Faculty of Medicine, Shimane University
|
Rights | Faculty of Medicine, Shimane University
|