Central European Journal of Medicine

, Volume 3, Issue 4, pp 505–509 | Cite as

Young syncopal man and decision about permanent cardiac pacing

  • Malgorzata Lelonek
  • Adam Stanczyk
  • Jan Henryk Goch
Case Report


A 20-year old man experienced recurrent syncope, that suggested a partially neutrally-mediated mechanism, but in some cases were without a prodrome. The tilt test was negative. The 12-lead ECG and electrophysiological study showed first-degree AV block. Syncope in bradyarrhythmia was suspected and an implantable loop recorder was indicated. In the first month after implantation the patient experienced one syncopal episode. In the stored ECG, AV junctional rhythm was detected. The patient received a pacemaker and symptoms improved.


Syncope Implantable loop recorder Pacemaker 


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  1. [1]
    Brignole M., Alboni P., Benditt D., Bergfeldt L., Blanc J.J., Thomsen P.E., et al., Guidelines on management (diagnosis and treatment) of syncope-update 2004. Executive summary, Eur. Heart J., 2004, 25, 2054–72Google Scholar
  2. [2]
    Strickberger S.A., Benson D.W., Biaggioni I., Callans D.J., Cohen M.I., Ellenbogen K.A., et al., AHA/ACCF Scientific Statement on the evaluation of syncope: from the American Heart Association Councils on Clinical Cardiology, Cardiovascular Nursing, Cardiovascular Disease in the Young, and Stroke, and the Quality of Care and Outcomes Research Interdisciplinary Working Group; and the American College of Cardiology Foundation: in collaboration with the Heart Rhythm Society: endorsed by the American Autonomic Society, Circulation, 2006, 113, 316–27PubMedCrossRefGoogle Scholar
  3. [3]
    Assar M., Krahn A., Klein G., Yee R., Skanes A., Optimal duration of monitoring in patients with unexplained syncope. Am. J. Cardiol., 2003, 92, 1231–1233PubMedCrossRefGoogle Scholar
  4. [4]
    Krahn A., Klein G., Yee R., Hoch J., Skanes A., Cost implications of testing strategy in patients with syncope: randomized assessment of syncope trial, J. Am. Coll. Cardiol., 2003, 42, 495–501PubMedCrossRefGoogle Scholar
  5. [5]
    Sagrista-Sauleda J., Romero-Ferrer B., Moya A., Permanyer-Miralda G., Soler-Soler J., Variations in diagnostic yield of head-up tilt test and electrophysiology in groups of patients with syncope of unknown origin, Eur. Heart J., 2001, 22, 857–865PubMedCrossRefGoogle Scholar
  6. [6]
    Fujimura O., Yee R., Klein G., Sharma A., Boahene K, The diagnostic sensitivity of electrophysiologic testing in patients with syncope caused by transient bradycardia, N. Engl. J. Med., 1989, 321, 1703–1707PubMedGoogle Scholar
  7. [7]
    Vardas P.E., Auricchio A., Blanc J.J., Daubert J.C., Drexler H., Ector H., et al., Guidelines for cardiac pacing and cardiac resynchronization therapy. The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in Collaboration with the European Heart Rhythm Association, Eur. Heart J., 2007, 28, 2256–2295PubMedCrossRefGoogle Scholar

Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2008

Authors and Affiliations

  • Malgorzata Lelonek
    • 1
  • Adam Stanczyk
    • 1
  • Jan Henryk Goch
    • 1
  1. 1.Department of Cardiology, Chair of Cardiology and Cardiac SurgeryMedical University of LodzLodzPoland

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