ISSN 1016-5169 | E-ISSN 1308-4488
A case of prolonged asystole during head-up tilt testing [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2009; 37(5): 345-347

A case of prolonged asystole during head-up tilt testing

Murat Sucu, İbrahim Sarı, Vedat Davutoğlu
Department of Cardiology, Gaziantep University Faculty of Medicine, Gaziantep

Head-up tilt test is used for assessing patients with vasovagal syncope. A 45-year-old man was examined for two syncopal and three presyncopal episodes during the past three months, all of which preceded by nausea and sweating. Examinations including electrocardiography and echocardiography showed normal findings. A head-up tilt table testing was performed at an angle of 75 degrees. At about 12 minutes, syncope associated with bradycardia and asystole was observed. He became hypotensive, and there was a ventricular asystolic pause lasting 18 seconds, associated with loss of consciousness. He was placed in the supine position and cardiac massage was started. After 25 seconds, he slowly returned to sinus rhythm and regained consciousness. The patient was treated with dual-chamber pacemaker implantation. During one year of follow-up, no major events occurred.

Keywords: Heart arrest/etiology, syncope/diagnosis, tilt-table test.

How to cite this article
Murat Sucu, İbrahim Sarı, Vedat Davutoğlu. A case of prolonged asystole during head-up tilt testing. Turk Kardiyol Dern Ars. 2009; 37(5): 345-347

Corresponding Author: Murat Sucu, Türkiye
Manuscript Language: English

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