Professional paper

Long lasting neurocardiogenic reflex provoked by emotional trigger

DOROTA ZYSKO ; Teaching Department for Emergency Medical Services, Wroclaw Medical University, Bartla 5, 61-518 Wroclaw, Poland
STANISLAW FURTAN ; Specialty Hospital of Zgorzelec, Emergency Department, Zgorzeled, Poland. University of Medical Sciences in Legnica, Legnica, Poland.
ARKADIUSZ KAWKA ; Specialty Hospital of Zgorzelec, Emergency Department, Zgorzeled, Poland
JACEK GAJEK ; Department of Cardiology, Wrocaw Medical University, Wroclaw, Poland

Abstract

A 53-year-old man presented with a protracted presyncope and profound hypotension and bradycardia due to emotion related vasovagal reaction. Electrocardiogram obtained 20 minutes after the onset of presyncope revealed junctional rhythm at 38 beats per minute (bpm). After supination, clinical symptoms and hemodynamic disturbances immediately resolved. Careful cardiologic evaluation revealed significant stenosed coronary vessels. Maintaining the vertical position may be responsible for persistent bradycardia and hypotension after neurocardiogenic reflex provocation.

Keywords

neurocardiogenic syncope; cardiovascular event

Hrčak ID:

110343

URI

https://hrcak.srce.hr/110343

Publication date:

1.10.2013.

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