Zusammenfassung
Die genaue Identifikation der Ätiologie von Synkopen bei Patienten mit hypertroph-obstruktiver Kardiomyopathie (HOCM) spielt eine bedeutende Rolle, da die Entscheidung für eine ICD-Implantation davon abhängig ist. Wir berichten über einen Patienten mit HOCM und Synkopen. Durch die invasive Druckmessung konnten wir die Diagnose einer typischen Hustensynkope als Ursache der Synkope stellen.
Abstract
In patients with hypertrophic cardiomyopathy (HOCM), the decision for an implantable cardioverter–defibrillator (ICD) depends highly on the exact identification of the etiology of syncope. In this article, the case of a patient with HOCM and syncope is reported. Invasive pressure measurement was used to diagnose a typical case of cough syncope as the cause of the syncope.
Literatur
Baron SB, Huang SK (1987) Cough syncope presenting as Mobitz type II atrioventricular block-an electrophysiologic correlation. Pacing Clin Electrophysiol 10:65–69
Benditt DG, Samniah N, Pham S et al (2005) Effect of cough on heart rate and blood pressure in patients with „cough syncope“. Heart Rhythm 2:807–813
Hart G, Oldershaw PJ, Cull RE et al (1982) Syncope caused by cough-induced complete atrioventricular block. Pacing Clin Electrophysiol 5:564–566
Krediet CT, Wieling W (2008) Edward P. Sharpey-Schafer was right: evidence for systemic vasodilatation as a mechanism of hypotension in cough syncope. Europace 10:486–468
Kuck KH, Kunze KP, Schluter M et al (1988) Programmed electrical stimulation in hypertrophic cardiomyopathy. Results in patients with and without cardiac arrest or syncope. Eur Heart J 9:177–185
Kuhn H, Lawrenz T, Lieder F et al (2008) Survival after transcoronary ablation of septal hypertrophy in hypertrophic obstructive cardiomyopathy (TASH): a 10 year experience. Clin Res Cardiol 97:234–243
Lawrenz T, Stellbrink C, Kuhn H (2008) Diagnose und Therapie der hypertrophen Kardiomyopathie und ihrer Differenzialdiagnosen. Kardiologe 2:327–340
Maron BJ, McKenna WJ, Danielson GK et al (2003) American College of Cardiology/European Society of Cardiology clinical expert consensus document on hypertrophic cardiomyopathy. A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents and the European Society of Cardiology Committee for Practice Guidelines. J Am Coll Cardiol 42:1687–1713
Maron BJ, Spirito P, Shen WK et al (2007) Implantable cardioverter-defibrillators and prevention of sudden cardiac death in hypertrophic cardiomyopathy. JAMA 298:405–412
Mattle HP, Nirkko AC, Baumgartner RW, Sturzenegger M (1995) Transient cerebral circulatory arrest coincides with fainting in cough syncope. Neurology 45:498–501
Saito D, Matsuno S, Matsushita K et al (1982) Cough syncope due to atrio-ventricular conduction block. Jpn Heart J 23:1015–1020
Sharpey-Schafer EP (1953) The mechanism of syncope after coughing. Br Med J 2:860–863
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Jabbour, C., Oenning, EM., Neuzner, J. et al. Seltene Ursache einer Synkope bei einem Patienten nach TASH-Behandlung. Herzschr. Elektrophys. 22, 46–48 (2011). https://doi.org/10.1007/s00399-010-0114-x
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DOI: https://doi.org/10.1007/s00399-010-0114-x