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Vasovagal syncope during rectosigmoidoscopy: report of a case.
C Selleger1, R Adamec, A Morabia
1Department of Medicine, Geneva University Hospital, Switzerland.
Pacing and Clinical Electrophysiology : PACE
|March 1, 1988
Summary
Cardioinhibitory vasovagal syncope caused sinus arrest and asystole during a procedure. Pacemaker implantation resolved symptoms, preventing further fainting episodes.
Area of Science:
- Cardiology
- Gastroenterology
Background:
- Vasovagal syncope can manifest with cardioinhibitory features, including sinus arrest and asystole.
- Rectosigmoidoscopy is a medical procedure that can potentially trigger vasovagal responses.
Observation:
- A patient experiencing frequent syncope presented with a 28-second episode of sinus arrest and asystole during rectosigmoidoscopy.
- This event was characterized as cardioinhibitory vasovagal syncope.
Findings:
- A ventricular inhibited pacemaker was successfully implanted in the patient.
- The pacemaker effectively managed the cardiac arrhythmias associated with the syncope.
Implications:
- Pacemaker implantation can be an effective treatment for severe, cardioinhibitory vasovagal syncope.
- This case highlights the importance of considering cardiac monitoring and intervention in patients with recurrent syncope during procedures.