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Images in Clinical Medicine
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Volume 329:30 July 1, 1993 Number 1
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Neurocardiogenic (Vasodepressor) Syncope

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Figure 1. Neurocardiogenic (Vasodepressor) Syncope.

A 72-year-old woman with breast cancer that had metastasized to the glossopharyngeal region had recurrent episodes of sudden lightheadedness, diaphoresis, and syncope. A dual-chamber pacemaker was implanted, but syncope recurred, always preceded by severe neck pain. During the tilt-table test with the pacemaker inactivated, the results of which are shown here, the patient's usual symptoms developed. She lost consciousness and had a seizure, but regained consciousness immediately after she was returned to the supine position. The study shows a profound vasodepressor reaction with minimal slowing of the sinus rhythm. Treatment with disopyramide (150 mg three . . . [Full Text of this Article]

 

Related Letters:

Neurocardiogenic Syncope
Piwinski S. E., Osswald S., Trouton T. G., McGovern B. A.
Extract | Full Text  
N Engl J Med 1993; 329:1966-1967, Dec 23, 1993. Correspondence

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