Cor Vasa 2009, 51(4):285-289 | DOI: 10.33678/cor.2009.070
The case report of a patient with sinus arrest
- Kardiologické oddělení Interní kliniky, Pardubická krajská nemocnice a. s., Pardubice, Česká republika
A challenging area of differential diagnosis in consciousness disorders due to short-term circulatory arrest (syncope) are acute neurological syndromes mimicking syncope. The most common of these syndromes is epilepsy. In about 10% of patients diagnosed to have and treated for epilepsy (mostly those experiencing seizures as the dominant symptom), the underlying cause of a consciousness disorder is short-term circulatory arrest. We report the observation of a patient assessed for recurrent consciousness disorders whose clinical picture of disorders made us consider mainly a neurological cause. The diagnosis - an unusual form of sinus arrest - could only be established by examining the patient with an implantable ECG recorder ("Reveal" Medtronic) using a memory loop.
Keywords: Syncope; Sinus arrest; Implantable ECG recorder
Published: April 1, 2009 Show citation
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