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Case Report

Open Access

Long lasting neurocardiogenic reflex provoked by emotional trigger

  • DOROTA ZY ŚKO1
  • STANISLAW FURTAN2
  • JACEK GAJEK3
  • ARKADIUSZ KAWKA2

1,Teaching Department for Emergency Medical Services Wroclaw Medical University

2,Specialty Hospital of Zgorzelec Emergency Department

3,Department of Cardiology Wroc􀀁aw Medical University

4,

DOI: 10.22514/SV82.102013.10 Vol.8,Issue 2,October 2013 pp.58-60

Published: 17 October 2013

*Corresponding Author(s): DOROTA ZY ŚKO E-mail: dzysko@wp.pl

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Abstract

A 53-year-old man presented with a protracted presyncope and profound hypotension and bradycardia due to emotion related vasovagal reaction. Electrocardiogram obtained 20 minutes after the onset of presyncope revealed junctional rhythm at 38 beats per minute (bpm). After supination, clinical symptoms and hemodynamic disturbances immediately resolved. Careful cardiologic evaluation revealed significant stenosed coronary vessels. Maintaining the vertical position may be responsible for persistent bradycardia and hypotension after neurocardiogenic reflex provocation.

Keywords

neurocardiogenic synco-pe, cardiovascular event

Cite and Share

DOROTA ZY ŚKO,STANISLAW FURTAN,JACEK GAJEK,ARKADIUSZ KAWKA. Long lasting neurocardiogenic reflex provoked by emotional trigger. Signa Vitae. 2013. 8(2);58-60.

URL:

https://www.signavitae.com/articles/10.22514/SV82.102013.10

References

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6. Rudnicki J, Zy􀀂ko D, Gajek J, Kuliczkowski W, Rosiñczuk-Tonderys J, Zieliñska D, et al. The Risk for Syncope and Presyncope During Surgery in Surgeons and Nurses. Pacing Clin Electrophysiol 2011;34:1486-91.

7. Zy􀀂ko D, Gajek J, Agrawal AK, Rudnicki J. The clinical relevance of a junctional rhythm during neurocardiogenic reaction provoked by tilt testing. Kardiol Pol 2012;70:148-55.

8. Gajek J, Zy􀀁ko D, Agrawal AK, Rudnicki J. Patients with atrioventricular block during tilt test-induced vasovagal syncope. Adv Clin Exp Med 2011;20:305-12.

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