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Correspondence
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Volume 331:205 July 21, 1994 Number 3
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Familial Occurrence of Neurocardiogenic Syncope

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To the Editor: We report two cases of neurocardiogenic syncope in a family. A 19-year-old college student was evaluated for abrupt loss of consciousness which had occurred approximately twice each year since the age of 12. Syncopal episodes were associated with abdominal cramping during menstrual periods. An electrocardiogram, a 24-hour Holter-monitor recording, and an echocardiogram were normal. Tilt-table testing was performed. After the patient had been in the head-up position at 60 degrees for nine minutes, she became asystolic and lost consciousness. Asystole lasted 70 seconds. Atropine was administered, and cardiac massage was initiated. The patient recovered. That evening, in . . . [Full Text of this Article]

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