Lucet V, Toumieux M C, Pajot N, Monod N
Arch Fr Pediatr. 1984 Oct;41(8):527-31.
Fourteen infants presenting with unexplained episodes of weakness or fainting were investigated by repeated Holter monitor recordings and oculocardiac reflexes (OCR). The recordings were then compared with those of 10 normal children in order to try to establish the criteria of vagal hyperreflexia. Results of OCR were collated with those of Holter: there was a good correlation between the length of the cardiac arrest on the OCR and the minimal instantaneous frequency and the maximal change of instantaneous frequency recorded on the Holter. The diagnostic difficulties of these vaso-vagal episodes in infants are emphasized. The potential gravity of these episodes and the possible relation with the sudden infant death syndrome are then discussed in the light of these cases.
对14例出现不明原因的虚弱或昏厥发作的婴儿进行了反复的动态心电图监测记录和眼心反射（OCR）检查。然后将这些记录与10名正常儿童的记录进行比较，以试图确立迷走神经反射亢进的标准。将OCR的结果与动态心电图的结果进行整理：OCR时心脏停搏的时长与动态心电图记录的最小瞬时频率和瞬时频率的最大变化之间存在良好的相关性。强调了婴儿这些血管迷走性发作的诊断困难。然后根据这些病例讨论了这些发作的潜在严重性以及与婴儿猝死综合征的可能关系。
