Syncope due to idiopathic paroxysmal atrioventricular block: Long-term follow-up of a distinct form of atrioventricular block

Journal of the American College of Cardiology

Volumn 58, Issue 2, 2011, Pages 167-173

  Brignole, Michele ^a   Deharo, Jean Claude ^b   De Roy, Luc ^c   Menozzi, Carlo ^d   Blommaert, Dominique ^c   Dabiri, Lara ^c   Ruf, Jean ^b   Guieu, Regis ^b,e  

^a DEPARTMENT OF CARDIOLOGY   (Italy)

^b TIMONE HOSPITAL   (France)

^c UNIVERSITY HOSPITAL OF MONT GODINNE   (Belgium)

^d S MARIA NUOVA HOSPITAL   (Italy)

^e AIX MARSEILLE UNIVERSITY   (France)

Author keywords

adenosine; AV block; ECG monitoring; electrocardiography; syncope

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; COMPLETE HEART BLOCK; ELECTROCARDIOGRAM; FEMALE; FOLLOW UP; HEART PACING; HUMAN; IDIOPATHIC DISEASE; IDIOPATHIC PAROXYSMAL ATRIOVENTRICULAR BLOCK; MALE; MEDICAL DOCUMENTATION; PATIENT MONITORING; PR INTERVAL; PRIORITY JOURNAL; RECURRENT DISEASE; RELAPSE; SYNCOPE; ATRIOVENTRICULAR BLOCK; ELECTROCARDIOGRAPHY; ELECTROPHYSIOLOGY; METABOLISM; METHODOLOGY; MIDDLE AGED; PATHOPHYSIOLOGY; TIME;

ADENOSINE; ADENOSINE TRIPHOSPHATE;

ADENOSINE; ADENOSINE TRIPHOSPHATE; ADULT; AGED; ATRIOVENTRICULAR BLOCK; ELECTROCARDIOGRAPHY; ELECTROPHYSIOLOGY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; RECURRENCE; SYNCOPE; TIME FACTORS;

EID: 79959780276     PISSN: 07351097     EISSN: 15583597     Source Type: Journal    
DOI: 10.1016/j.jacc.2010.12.045     Document Type: Article

References (26)

1. S. Lee, J.J. Wellens, and M. Josephson Paroxysmal atrioventricular block Heart Rhythm 6 2009 1229 1234
2. N. El-Sherif, and J. Jalife Paroxysmal atrioventricular block: are phase 3 and phase 4 block mechanisms or misnomers? Heart Rhythm 6 2009 1514 1521
3. M. Brignole, R. Sutton, and C. Menozzi Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope Eur Heart J 27 2006 1085 1092
4. S. Sud, G. Klein, A. Skanes, L. Gula, R. Yee, and A. Krahn Implications of mechanism of bradycardia on response to pacing in patients with unexplained syncope Europace 9 2007 312 318 (Pubitemid 47079251)
5. M. Brignole, A. Moya, C. Menozzi, R. Garcia-Civera, and R. Sutton Proposed electrocardiographic classification of spontaneous syncope documented by an implantable loop recorder Europace 7 2005 14 18
6. A. Saadjian, S. Lévy, F. Franceschi, I. Zouher, F. Paganelli, and R.P. Guieu Role of endogenous adenosine as a modulator of syncope induced during tilt testing Circulation 106 2002 569 574 (Pubitemid 34827706)
7. 2A receptors in patients with spontaneous and head-up-tilt-induced syncope Heart Rhythm 4 2007 870 876 (Pubitemid 46959197)
8. A.Y. Saadjian, V. Gerolami, and R. Giorgi Head-up tilt induced syncope and adenosine A2A receptor gene polymorphism Eur Heart J 30 2009 1510 1515
9. M. Brignole, G. Gaggioli, and C. Menozzi Adenosine-induced atrioventricular block in patients with unexplained syncope: the diagnostic value of ATP testing Circulation 96 1997 3921 3927
10. D. Flammang, M. Erickson, S. McCarville, T. Church, D. Hamani, and E. Donal Contribution of head-up tilt test and ATP testing in assessing the mechanisms of vasovagal syndrome: preliminary results and potential therapeutic implications Circulation 99 1999 2427 2433 (Pubitemid 29218239)
11. M. Brignole, R. Sutton, and C. Menozzi Lack of correlation between the responses to tilt testing and adenosine triphosphate test and the mechanism of spontaneous neurally mediated syncope Eur Heart J 27 2006 2232 2239 (Pubitemid 44412839)
12. J.C. Deharo, C. Jego, A. Lanteaume, and P. Djiane An implantable loop recorder study of highly symptomatic vasovagal patients J Am Coll Cardiol 47 2006 587 593
13. B. Strasberg, W. Lam, and S. Swiryn Symptomatic spontaneous paroxysmal AV nodal block due to localized hyperresponsiveness of the AV node to vagotonic reflexes Am Heart J 103 1982 795 801 (Pubitemid 13138015)
14. J.S. Sra, B. Singh, Z. Blanck, A. Dhala, and M. Akhtar Sinus tachycardia with atrioventricular block: an unusual presentation during neurocardiogenic (vasovagal) syncope J Cardiovasc Electrophysiol 9 1998 203 207 (Pubitemid 28114619)
15. I.J. Mendoza, A. Castellanos, G. Lopera, F. Moleiro, R.D. Mitrani, and R.J. Myerburg Spontaneous paroxysmal atrioventricular block in patients with positive tilt tests and negative electrophysiologic studies Am J Cardiol 85 2000 893 896 (Pubitemid 30157862)
16. R. Sanjuán, L. Facila, M.L. Blasco, R. García-Civera, R. Ruiz Granell, and S. Morell Cabedo Case 13. Neuromediated syncope presenting as high grade AV block R. Garcia-Civera, G. Baron-Esquivias, J.J. Blanc, Syncope Cases 2006 Blackwell Futura Oxford 38 40
17. D. Zyko, J. Gajek, E. Koluk, and W. Mazurek Electrocardiographic characteristics of atrioventricular block induced by tilt testing Europace 11 2009 225 230
18. K.E. Paravolidakis, T.S. Apostolou, G. Theodorakis, V.G. Vartela, and D. Kremastinos Accelerated sinus rhythm with high grade A-V block during head-up tilt testing Europace 8 2006 128
19. M. Brignole, G. Gaggioli, and C. Menozzi Clinical features of adenosine sensitive syncope and tilt induced vasovagal syncope Heart 83 2000 24 28 (Pubitemid 30307634)
20. A. Perennes, M. Fatemi, M.L. Borel, Y. Lebras, C. L'Her, and J.J. Blanc Epidemiology, clinical features, and follow-up of patients with syncope and a positive adenosine triphosphate test result J Am Coll Cardiol 47 2006 594 597 (Pubitemid 43170850)
21. G. Burnstock, and C. Kennedy Purinergic receptors in the cardiovascular system Prog Pharmacol 6 1986 111 132
22. J.C. Shryock, and L. Belardinelli Adenosine and adenosine receptors in the cardiovascular system: biochemistry, physiology and pharmacology Am J Cardiol 79 1997 2 10 (Pubitemid 27305162)
23. L. Wu, L. Belardinelli, J.A. Zablocki, V. Palle, and J.C. Shryock A partial agonist of the A(1)-adenosine receptor selectively slows AV conduction in guinea pig hearts Am J Physiol Heart Circ Physiol 280 2001 334 343
24. B. Lerman, and L. Belardinelli Cardiac electrophysiology of adenosine Basic and clinical concepts Circulation 83 1991 1499 1507
25. H. Clemo, and L. Belardinelli Effect of adenosine on atrioventricular conduction I: site and characterization of adenosine action in the guinea pig atrioventricular node Circ Res 59 1986 427 436 (Pubitemid 17211722)
26. A. Moya, R. Sutton, and F. Ammirati Guidelines for the diagnosis and management of syncope (version 2009) Eur Heart J 30 2009 2631 2671