Treatment of malignant primary vasodepressive neurocardiogenic syncope with a rate responsive pacemaker driven by heart contractility.

Deharo JC; Peyre JP; Ritter PH; Chalvidan T; Le-Tallec L; Djiane P

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Treatment of malignant primary vasodepressive neurocardiogenic syncope with a rate responsive pacemaker driven by heart contractility.

机译：用心脏收缩力驱动的起搏器对恶性原发性血管舒缩性神经源性晕厥进行治疗。

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In a 41-year-old man suffering from frequent syncope, the tilt test reproducibly induced a primary vasodepressive neurocardiogenic syncope. Pharmacotherapy either failed to prevent the syncope induced at the tilt test or was poorly tolerated. In the minutes preceding the syncope, a dramatic increase in heart contractility was sensed by a microaccelerometer located at the tip of a right ventricular pacing electrode. When the tilt test was repeated with the pacemaker programmed in the DDDR mode, high rate dual chamber pacing occurred during the tilt phase and prevented the syncope. Three months after implantation, the patient remains totally symptom free.

机译：在一个患有频繁晕厥的41岁男子中，倾斜测试可重复地诱发原发性血管压迫性神经心源性晕厥。药物治疗要么不能防止在倾斜试验中引起的晕厥，要么耐受性差。在晕厥之前的几分钟内，位于右心室起搏电极尖端的微加速度计检测到心脏收缩力显着增加。当使用在DDDR模式下编程的起搏器重复进行倾斜测试时，在倾斜阶段会发生高速率的双腔起搏，从而避免了晕厥。植入后三个月，患者完全没有症状。

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来源
《PACE: Pacing and clinical electrophysiology》 |1998年第12期|共3页
作者
Deharo JC; Peyre JP; Ritter PH; Chalvidan T; Le-Tallec L; Djiane P;
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正文语种 eng
中图分类诊断学;
关键词
Pacemaker; Artificial; Syncope; Vasovagal; 起搏器; 人工; 晕厥; 血管迷走性;

机译：Pacemaker;Artificial;Syncope;Vasovagal;起搏器;人工;晕厥;血管迷走性;

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1. Treatment of malignant primary vasodepressive neurocardiogenic syncope with a rate responsive pacemaker driven by heart contractility. [J] . Deharo JC, Peyre JP, Ritter PH, PACE: Pacing and clinical electrophysiology . 1998,第12期

机译：用心脏收缩力驱动的起搏器对恶性原发性血管舒缩性神经源性晕厥进行治疗。
2. Treatment of malignant neurocardiogenic vasovagal syncope with a rate drop algorithm in dual chamber cardiac pacing. [J] . Abe H, Iwami Y, Nagatomo T, PACE: Pacing and clinical electrophysiology . 1998,第7期

机译：双腔心脏起搏中降速算法治疗恶性神经心源性血管迷走性晕厥。
3. Do the Recently Modified Pacemaker Guidelines for Neurocardiogenic Syncope Also Apply to Young Patients?. Analysis Based on Five-Year Follow-Up of Israeli Soldiers with Syncope and a Positive Tilt Test. [J] . Wagshal AB, Weinstein O, Damri E, Cardiology . 2004,第4期

机译：最近修订的《 Pacemaker神经心源性晕厥指南》也适用于年轻患者吗？基于Syncope和正面倾斜测试对以色列士兵进行的五年后续跟踪的分析。
4. Looking for changes in the heart rate of patients with Neurocardiogenic Syncope [C] . Fatima M. H. S. P. Silva, Mariana A. Leite, Julio C. Crescencio, Computing in Cardiology Conference . 2016

机译：寻找神经心源性晕厥患者心率的变化
5. Evaluation of the metabolic cost of and heart rate response to activities of daily living in Medtronic.Kappa.400(TM) integrated sensor pacemaker patients [D] . Skemp, Karen Margaret 2000

机译：评估Medtronic.Kappa.400（TM）集成式传感器起搏器患者的代谢成本和心率对日常生活活动的响应
6. Severe Pain Attack Associated with Neurocardiogenic Syncope Induced by Glossopharyngeal Neuralgia: Successful Treatment with Carbamazepine and a Permanent Pacemaker -A Case Report- [O] . Seung Ho Kim, Kyung Ream Han, Do Wan Kim, 2010

机译：舌咽神经痛引起的与神经心源性晕厥相关的重度疼痛发作：卡马西平和永久起搏器的成功治疗-病例报告-
7. Severe Pain Attack Associated with Neurocardiogenic Syncope Induced by Glossopharyngeal Neuralgia: Successful Treatment with Carbamazepine and a Permanent Pacemaker -A Case Report- [O] . Kim, Seung Ho, Han, Kyung Ream, Kim, Do Wan, 2010

机译：舌咽神经痛引起的与神经心源性晕厥相关的重度疼痛发作：卡马西平和永久起搏器的成功治疗-病例报告-

Treatment of malignant primary vasodepressive neurocardiogenic syncope with a rate responsive pacemaker driven by heart contractility.

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