Atrioventricular dissociation exacerbating posturally-induced syncope
We report a case of an 85-year-old patient with posturally-induced syncope in whom symptoms were reproduced during tilt table testing in conjunction with development of an accelerated junctional rhythm with isorhythmic atrio-ventricular (AV) dissociation. That loss of AV synchrony was crucial to dev...
Gespeichert in:
| Veröffentlicht in: | Journal of interventional cardiac electrophysiology 2001-06, Vol.5 (2), p.153-157 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 157 |
|---|---|
| container_issue | 2 |
| container_start_page | 153 |
| container_title | Journal of interventional cardiac electrophysiology |
| container_volume | 5 |
| creator | SAMNIAH, Nemer SAKAGUCHI, Scott BENDITT, David G |
| description | We report a case of an 85-year-old patient with posturally-induced syncope in whom symptoms were reproduced during tilt table testing in conjunction with development of an accelerated junctional rhythm with isorhythmic atrio-ventricular (AV) dissociation. That loss of AV synchrony was crucial to development of hypotension and syncope was demonstrated during electrophysiologic testing in which both an accelerated junctional rhythm and an inducible atypical AV nodal re-entrant tachycardia (AVNRT) were induced. The accelerated junctional rhythm was accompanied by moderate hypotension with the patient in the supine posture, whereas blood pressure was well maintained during atypical AVNRT despite a much faster ventricular rate. Thus, symptomatic hypotension due to AV dissociation, presumably the result of transient autonomic disturbance, may be another manifestation of neurally-mediated syncope. |
| doi_str_mv | 10.1023/A:1011425423950 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_70825950</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70825950</sourcerecordid><originalsourceid>FETCH-LOGICAL-p263t-c45653fc1397e684435a246bfed53a671b239fd7328cdf2c8f2877a9990c51553</originalsourceid><addsrcrecordid>eNpd0E1LAzEQBuAgiq3VszcpIt5WM_nYJN5KqR9Q8KLgbclms5KyTdZkV-y_N2BF8DQz8DDMOwidA74BTOjt4g4wACOcEao4PkBT4IIUkit-mHsqaSEFf5ugk5Q2GGOFSXmMJgCUEcFhilaLIbrwaX0uZux0nDcupWCcHlzwc_uljY11Hvz7vA9pGKPuul3hfDMa28zTzpvQ21N01Oou2bN9naHX-9XL8rFYPz88LRfroiclHQrDeMlpa4AqYUvJGOWasLJubcOpLgXUOUXbCEqkaVpiZEukEFophQ0HzukMXf_s7WP4GG0aqq1Lxnad9jaMqRJYkhwdZ3j5D27CGH2-rSIgFS0ZFxld7NFYb21T9dFtddxVv9_J4GoPdDK6a6P2xqU_h4FRDPQbPlVzAw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>218936457</pqid></control><display><type>article</type><title>Atrioventricular dissociation exacerbating posturally-induced syncope</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>SAMNIAH, Nemer ; SAKAGUCHI, Scott ; BENDITT, David G</creator><creatorcontrib>SAMNIAH, Nemer ; SAKAGUCHI, Scott ; BENDITT, David G</creatorcontrib><description>We report a case of an 85-year-old patient with posturally-induced syncope in whom symptoms were reproduced during tilt table testing in conjunction with development of an accelerated junctional rhythm with isorhythmic atrio-ventricular (AV) dissociation. That loss of AV synchrony was crucial to development of hypotension and syncope was demonstrated during electrophysiologic testing in which both an accelerated junctional rhythm and an inducible atypical AV nodal re-entrant tachycardia (AVNRT) were induced. The accelerated junctional rhythm was accompanied by moderate hypotension with the patient in the supine posture, whereas blood pressure was well maintained during atypical AVNRT despite a much faster ventricular rate. Thus, symptomatic hypotension due to AV dissociation, presumably the result of transient autonomic disturbance, may be another manifestation of neurally-mediated syncope.</description><identifier>ISSN: 1383-875X</identifier><identifier>EISSN: 1572-8595</identifier><identifier>DOI: 10.1023/A:1011425423950</identifier><identifier>PMID: 11342751</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Heart Block - complications ; Humans ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Syncope - etiology ; Tachycardia, Atrioventricular Nodal Reentry - complications</subject><ispartof>Journal of interventional cardiac electrophysiology, 2001-06, Vol.5 (2), p.153-157</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright Kluwer Academic Publishers Jun 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1014301$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11342751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SAMNIAH, Nemer</creatorcontrib><creatorcontrib>SAKAGUCHI, Scott</creatorcontrib><creatorcontrib>BENDITT, David G</creatorcontrib><title>Atrioventricular dissociation exacerbating posturally-induced syncope</title><title>Journal of interventional cardiac electrophysiology</title><addtitle>J Interv Card Electrophysiol</addtitle><description>We report a case of an 85-year-old patient with posturally-induced syncope in whom symptoms were reproduced during tilt table testing in conjunction with development of an accelerated junctional rhythm with isorhythmic atrio-ventricular (AV) dissociation. That loss of AV synchrony was crucial to development of hypotension and syncope was demonstrated during electrophysiologic testing in which both an accelerated junctional rhythm and an inducible atypical AV nodal re-entrant tachycardia (AVNRT) were induced. The accelerated junctional rhythm was accompanied by moderate hypotension with the patient in the supine posture, whereas blood pressure was well maintained during atypical AVNRT despite a much faster ventricular rate. Thus, symptomatic hypotension due to AV dissociation, presumably the result of transient autonomic disturbance, may be another manifestation of neurally-mediated syncope.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Heart Block - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Syncope - etiology</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - complications</subject><issn>1383-875X</issn><issn>1572-8595</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0E1LAzEQBuAgiq3VszcpIt5WM_nYJN5KqR9Q8KLgbclms5KyTdZkV-y_N2BF8DQz8DDMOwidA74BTOjt4g4wACOcEao4PkBT4IIUkit-mHsqaSEFf5ugk5Q2GGOFSXmMJgCUEcFhilaLIbrwaX0uZux0nDcupWCcHlzwc_uljY11Hvz7vA9pGKPuul3hfDMa28zTzpvQ21N01Oou2bN9naHX-9XL8rFYPz88LRfroiclHQrDeMlpa4AqYUvJGOWasLJubcOpLgXUOUXbCEqkaVpiZEukEFophQ0HzukMXf_s7WP4GG0aqq1Lxnad9jaMqRJYkhwdZ3j5D27CGH2-rSIgFS0ZFxld7NFYb21T9dFtddxVv9_J4GoPdDK6a6P2xqU_h4FRDPQbPlVzAw</recordid><startdate>200106</startdate><enddate>200106</enddate><creator>SAMNIAH, Nemer</creator><creator>SAKAGUCHI, Scott</creator><creator>BENDITT, David G</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200106</creationdate><title>Atrioventricular dissociation exacerbating posturally-induced syncope</title><author>SAMNIAH, Nemer ; SAKAGUCHI, Scott ; BENDITT, David G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p263t-c45653fc1397e684435a246bfed53a671b239fd7328cdf2c8f2877a9990c51553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Heart Block - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Syncope - etiology</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAMNIAH, Nemer</creatorcontrib><creatorcontrib>SAKAGUCHI, Scott</creatorcontrib><creatorcontrib>BENDITT, David G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiac electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAMNIAH, Nemer</au><au>SAKAGUCHI, Scott</au><au>BENDITT, David G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrioventricular dissociation exacerbating posturally-induced syncope</atitle><jtitle>Journal of interventional cardiac electrophysiology</jtitle><addtitle>J Interv Card Electrophysiol</addtitle><date>2001-06</date><risdate>2001</risdate><volume>5</volume><issue>2</issue><spage>153</spage><epage>157</epage><pages>153-157</pages><issn>1383-875X</issn><eissn>1572-8595</eissn><abstract>We report a case of an 85-year-old patient with posturally-induced syncope in whom symptoms were reproduced during tilt table testing in conjunction with development of an accelerated junctional rhythm with isorhythmic atrio-ventricular (AV) dissociation. That loss of AV synchrony was crucial to development of hypotension and syncope was demonstrated during electrophysiologic testing in which both an accelerated junctional rhythm and an inducible atypical AV nodal re-entrant tachycardia (AVNRT) were induced. The accelerated junctional rhythm was accompanied by moderate hypotension with the patient in the supine posture, whereas blood pressure was well maintained during atypical AVNRT despite a much faster ventricular rate. Thus, symptomatic hypotension due to AV dissociation, presumably the result of transient autonomic disturbance, may be another manifestation of neurally-mediated syncope.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>11342751</pmid><doi>10.1023/A:1011425423950</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1383-875X |
| ispartof | Journal of interventional cardiac electrophysiology, 2001-06, Vol.5 (2), p.153-157 |
| issn | 1383-875X 1572-8595 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70825950 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Aged, 80 and over Biological and medical sciences Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Heart Block - complications Humans Male Medical sciences Nervous system (semeiology, syndromes) Neurology Syncope - etiology Tachycardia, Atrioventricular Nodal Reentry - complications |
| title | Atrioventricular dissociation exacerbating posturally-induced syncope |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T13%3A49%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Atrioventricular%20dissociation%20exacerbating%20posturally-induced%20syncope&rft.jtitle=Journal%20of%20interventional%20cardiac%20electrophysiology&rft.au=SAMNIAH,%20Nemer&rft.date=2001-06&rft.volume=5&rft.issue=2&rft.spage=153&rft.epage=157&rft.pages=153-157&rft.issn=1383-875X&rft.eissn=1572-8595&rft_id=info:doi/10.1023/A:1011425423950&rft_dat=%3Cproquest_pubme%3E70825950%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=218936457&rft_id=info:pmid/11342751&rfr_iscdi=true |