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[Painless ST elevation with syncope. Diagnosis by continuous electrocardiography].

P Djiane, A Egre, M Bory

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |September 1, 1979
    PubMed
    Summary

    Syncope in a 53-year-old man was caused by ventricular arrhythmia with ST elevation. Aorto-coronary bypass graft surgery effectively treated the condition.

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    Area of Science:

    • Cardiology
    • Electrophysiology
    • Cardiac Surgery

    Background:

    • Syncope, or fainting, can have various underlying causes.
    • Continuous ambulatory electrocardiography is a diagnostic tool for detecting cardiac arrhythmias.
    • Ventricular arrhythmias pose a significant risk for sudden cardiac events.

    Observation:

    • A 53-year-old male patient presented with recurrent syncope.
    • Continuous ambulatory electrocardiography revealed a ventricular arrhythmia.
    • The arrhythmia was associated with ST elevation on the electrocardiogram.

    Findings:

    • The ventricular arrhythmia was resistant to standard medical treatments.
    • A surgical intervention, specifically a double aorto-coronary bypass graft, was performed.

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  • Post-operative monitoring confirmed the resolution of the arrhythmia.

    • Implications:

    • This case highlights the importance of continuous ambulatory electrocardiography in diagnosing syncope.
    • Surgical revascularization can be an effective treatment for refractory ventricular arrhythmias causing syncope.
    • Early diagnosis and intervention are crucial for managing potentially life-threatening cardiac conditions.