Skip to main content
SpringerLink
Log in

Syncope and Bundle Branch Block

  • Chapter
  • First Online:
Cardiac Electrophysiology

  • 128 Accesses

Abstract

Syncope in the setting of bifascicular block or left bundle branch block raises the etiologic possibility of intermittent complete heart block. However other diagnostic possibilities co-exist, including vasovagal syncope, sick sinus syndrome, and carotid sinus syncope. Either empiric pacing or further diagnostic attempts with tilt tests or implantable loop recorders are reasonable management strategies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Del Rosso A, Alboni P, Brignole M, Menozzi C, Raviele A. Relation of clinical presentation of syncope to the age of patients. Am J Cardiol. 2005;96:1431–5.

    Article  Google Scholar 

  2. Forleo C, Guida P, Iacoviello M, Resta M, Monitillo F, Sorrentino S, Favale S. Head-up tilt testing for diagnosing vasovagal syncope: a meta-analysis. Int J Cardiol. 2013;168:27–35.

    Article  Google Scholar 

  3. Parry SW, Richardson DA, O’Shea D, Sen B, Kenny RA. Diagnosis of carotid sinus hypersensitivity in older adults: carotid sinus massage in the upright position is essential. Heart. 2000;83:22–3.

    Article  CAS  Google Scholar 

  4. Brignole M, Menozzi C, Moya A, Garcia-Civera R, Mont L, Alvarez M, Errazquin F, Beiras J, Bottoni N, Donateo P. Mechanism of syncope in patients with bundle branch block and negative electrophysiological test. Circulation. 2001;104:2045–50.

    Article  CAS  Google Scholar 

  5. Brignole M, Moya A, Menozzi C, Garcia-Civera R, Sutton R. Proposed electrocardiographic classification of spontaneous syncope documented by an implantable loop recorder. Europace. 2005;7:14–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

    Robert Sheldon

Authors
  1. Robert Sheldon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Robert Sheldon .

Editor information

Editors and Affiliations

  1. N. IH 35 3000, St. David’s Medical Center, Austin, TX, USA

    Andrea Natale

  2. Department of Cardiovascular Medicine, Stanford University, Stanford, CA, USA

    Paul J. Wang

  3. Texas Cardiac Arrhythmia, Austin, TX, USA

    Amin Al-Ahmad

  4. University of Pittsburgh, Pittsburgh, PA, USA

    N. A. Mark Estes

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sheldon, R. (2020). Syncope and Bundle Branch Block. In: Natale, A., Wang, P., Al-Ahmad, A., Estes, N. (eds) Cardiac Electrophysiology. Springer, Cham. https://doi.org/10.1007/978-3-030-28533-3_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-28533-3_20

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28531-9

  • Online ISBN: 978-3-030-28533-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation