Dangovian M I, Jarandilla R, Frumin H
Department of Medicine, Sinai Hospital, Detroit, Michigan 48235.
Pacing Clin Electrophysiol. 1992 Jan;15(1):14-6. doi: 10.1111/j.1540-8159.1992.tb02895.x.
Neurally mediated vasodepressor syncope is a common clinical problem. The diagnosis is generally associated with a benign prognosis, however, a less common "malignant" form has been identified. Head-up tilt table testing is helpful in the confirmation of the diagnosis of neurally mediated vasodepressor syncope and may be useful in the selection of therapy. One form of therapy commonly used is beta blockade. In this case report we describe a patient with neurally mediated vasodepressor syncope who developed asystole during head-up tilt table testing after treatment with a beta blocker.
神经介导的血管减压性晕厥是一个常见的临床问题。该诊断通常与良性预后相关，然而，已发现一种较罕见的“恶性”形式。头高位倾斜试验有助于确诊神经介导的血管减压性晕厥，并且可能有助于治疗方案的选择。常用的一种治疗方法是β受体阻滞剂。在本病例报告中，我们描述了一名患有神经介导的血管减压性晕厥的患者，在用β受体阻滞剂治疗后，在头高位倾斜试验期间发生了心搏停止。
