Exertional syncope in a patient with aortic stenosis and right coronary artery disease.
Eur Heart J
; 16(2): 276-8, 1995 Feb.
Article
in En
| MEDLINE
| ID: mdl-7744101
ABSTRACT
A female with advanced aortic valvular stenosis and moderate right coronary artery disease experienced an exertional syncope during 24-h ambulatory electrocardiographic monitoring. A progressive bradycardia with 90-s sinus node arrest (cardio-inhibitory response) and premonitory angina pectoris with significant ST segment changes were demonstrated. Our report supports the concept of a neurocardiogenic (vasovagal) mechanism of exertional syncope in patients with aortic stenosis. The predominant left ventricular inferior-wall myocardial ischaemia in our patient might be an additional stimulus to left ventricular mechanoreceptors, resulting in a profound cardio-inhibitory response.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aortic Valve Stenosis
/
Syncope
/
Coronary Disease
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Eur Heart J
Year:
1995
Document type:
Article
Affiliation country:
Eslovenia