Postorino Claudia, Gallagher Mark M, Santini Luca, Magliano Giulia, Chiricolo Gaetano, Bindo Missiroli, Postorino Alfredo, Romeo Francesco
Dipartimento di Cardiologia, Policlinico Tor Vergata, Viale Oxford 81, Rome 00133, Italy.
Europace. 2007 Aug;9(8):568-70. doi: 10.1093/europace/eum087. Epub 2007 May 21.
We report the case of a 60-year-old male with recurrent pre-syncope, referred with a provisional diagnosis of carotid sinus syndrome on the basis of a 4 s asystolic pause following carotid sinus massage. On repeat Holter monitoring there was ST-segment elevation followed by episodes of polymorphic ventricular tachycardia during a mild episode of pre-syncope. Coronary angiography showed mild right coronary artery irregularity without significant stenosis. An automatic cardioverter defibrillator was implanted and high dose combined vasodilator therapy was commenced. At follow-up 18 months after implantation, the device has recorded no episode of tachycardia and the patient reports no recurrence of symptoms.
我们报告一例60岁男性复发性晕厥前症状患者，基于颈动脉窦按摩后出现4秒心脏停搏，初步诊断为颈动脉窦综合征。再次进行动态心电图监测时，在一次轻度晕厥前发作期间出现ST段抬高，随后发生多形性室性心动过速。冠状动脉造影显示右冠状动脉轻度不规则，但无明显狭窄。植入了自动心脏复律除颤器，并开始进行高剂量联合血管扩张剂治疗。在植入后18个月的随访中，该设备未记录到心动过速发作，患者报告症状未复发。
