Rein A J, Simcha A, Ludomirsky A, Appelbaum A, Uretzky G, Tamir I
J Pediatr. 1985 Nov;107(5):724-7. doi: 10.1016/s0022-3476(85)80400-5.
Sixteen infants, ages 6 weeks to 23 months, were evaluated because of syncopal attacks (n = 6), apneic episodes (n = 3), or a combination of syncope, apnea, or "convulsions" (n = 7). Comprehensive metabolic and neurologic investigations yielded negative results in 15 infants; in one, an abnormal EEG was recorded. Severe sinus bradycardia, complete sinus arrest, junctional escape rhythm, or ventricular escape rhythm was found in four patients, and permanent multiprogrammable pacemakers were implanted. Follow-up for 6 to 24 months with ventricular demand pacing showed complete cessation of attacks in two infants and marked improvement in two.
16名年龄在6周至23个月的婴儿因晕厥发作（n = 6）、呼吸暂停发作（n = 3）或晕厥、呼吸暂停或“惊厥”组合（n = 7）接受评估。全面的代谢和神经学检查在15名婴儿中结果为阴性；1名婴儿记录到异常脑电图。4名患者发现严重窦性心动过缓、完全性窦性停搏、交界性逸搏心律或室性逸搏心律，并植入了永久性可程控起搏器。采用心室按需起搏进行6至24个月的随访显示，2名婴儿发作完全停止，2名婴儿有明显改善。
