Huang Rui, Huang Qingning, Lei Yuhua
Cardiovascular Disease Center, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, People's Republic of China.
Hubei Selenium and Human Health Institute, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, People's Republic of China.
Int Med Case Rep J. 2024 Nov 18;17:971-975. doi: 10.2147/IMCRJ.S478492. eCollection 2024.
A 60-year-old woman was admitted to the hospital with "repeated loss of consciousness for 20 years." An electrocardiogram performed revealed sinus rhythm, and echocardiography, head/chest CTs, and a laboratory examination yielded no significant abnormalities. Besides, there were no positive results from the head-up tilt test. The subsequent decrease in heart rate and blood pressure following the ingestion of chili pepper indicated a potential case of vasovagal syncope(VVS) with cardioinhibition. Following cardioneuroablation, there was an observed increase in heart rate compared to pre-procedure levels. Furthermore, no recurrence of similar symptoms was reported during the one-year follow-up period.
一名60岁女性因“反复意识丧失20年”入院。心电图检查显示为窦性心律，超声心动图、头颅/胸部CT及实验室检查均未发现明显异常。此外，直立倾斜试验结果为阴性。摄入辣椒后心率和血压随后下降，提示可能为伴有心脏抑制的血管迷走性晕厥（VVS）。心脏神经消融术后，心率较术前有所增加。此外，在一年的随访期内未报告类似症状复发。
