Paroxysmal atrioventricular block induced during head-up tilt testing in an apparently healthy man

Journal of Cardiovascular Electrophysiology

Volumn 8, Issue 5, 1997, Pages 561-564

  Sumiyoshi, Masataka ^a,b   Nakata, Yasuro ^a   Mineda, Yoriaki ^a  

^a JUNTENDO UNIVERSITY SHIZUOKA HOSPITAL   (Japan)

^b JUNTENDO UNIVERSITY   (Japan)

Author keywords

head up tilt testing; healthy volunteer; heart rate variability; paroxysmal atrioventricular block; reproducibility; syncope

Indexed keywords

ADULT; ARTICLE; ASYSTOLE; ATRIOVENTRICULAR BLOCK; CASE REPORT; CLINICAL FEATURE; HEAD TILTING; HEART RATE VARIABILITY; HOLTER MONITORING; HUMAN; MALE; PRIORITY JOURNAL; REPRODUCIBILITY; SYNCOPE; TREADMILL EXERCISE;

EID: 0030915111     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8167.1997.tb00824.x     Document Type: Article

References (15)

1. Brignole M, Menozzi C, Gianfranchi L, et al: The clinical and prognostic significance of the asystolic response during the head-up tilt test. Eur JCPE 1992;2:109-113.
2. Dhala A, Natale A, Sra J, et al: Relevance of asystole during head-up tilt testing. Am J Cardiol 1995;75:251-254.
3. Maloney JD, Jaeger FJ, Fouad-Tarazi FM, et al: Malignant vasovagal syncope: Prolonged asystole provoked by head-up tilt. Cleve Clin J Med 1988;55:542-548.
4. Milstein S, Buetikofer J, Lesser J, et al: Cardiac asystole: A manifestation of neurally mediated hypotension-bradycardia. J Am Coll Cardiol 1989;14:1626-1632.
5. Sra JS, Jazayeri MR, Avitall B, et al: Comparison of cardiac pacing with drug therapy in the treatment of neurocardiogenic (vasovagal) syncope with bradycardia or asystole. N Engl J Med 1993;328:1085-1090.
6. Kosinski DJ, Grubb BP, Elliott L. et al: Treatment of malignant neurocardiogenic syncope with dual chamber cardiac pacing and fluoxetine hydrochloride. PACE 1995;18:1455-1457.
7. Strasberg B, Lam W, Swiryn S, et al: Symptomatic spontaneous paroxysmal AV nodal block due to localized hyperresponsiveness of the AV node to vagotonic reflexes. Am Heart J 1982;103:795-801.
8. Mehta D, Saverymuttu SH, Camm AJ: Recurrent paroxysmal complete heart block induced by vomiting. Chest 1988;94:433-435.
9. Bortolotti M, Cirignotta F, Labo G: Atrioventricular block induced by swallowing in a patient with diffuse esophageal spasm. JAMA 1982;248:2297-2299.
10. Drake CE, Rollings HE, Ham OE Jr, et al: Visually provoked complete atrioventricular block: An unusual form of deglutition syncope. Am J Cardiol 1984;53: 1408-1409.
11. Nakagawa S, Hisanaga S, Kondoh H, et al: A case of swallowing syncope induced by vagotonic visceral reflex resulting in atrioventricular node suppression. J Electrocardiol 1987;20:65-69.
12. Iwama Y, Sumiyushi M, Tanimoto K, et al: A case of swallowing-induced atrioventricular block after myocardial infarction. Jpn Circ J 1996;60:710-714.
13. Peretz DI, Abdulla A: Management of cardioinhibitory hypersensitive carotid sinus syncope with permanent cardiac pacing - A seventeen year prospective study. Can J Cardiol 1985;1:86-91.
14. Sutton R: Carotid sinus syndrome: Clinical presentation, epidemiology, investigation, and natural history. In Blanc J-J, Benditt D, Sutton R, eds: Neurally Mediated Syncope: Pathophysiology, Investigation, and Treatment. Futura Publishing Company, Inc., Armonk, NY, 1996, pp. 137-144.
15. Mizumaki K, Fujiki A, Tani M, et al: Left ventricular dimensions and autonomic balance during head-up tilt differ between patients with isoproterenol-dependent and isoproterenol-independent neurally mediated syncope. J Am Coll Cardiol 1995;26:164-173.