Abstract
A case of neurocardiogenic syncope is reported in which both AV-reciprocating tachycardia due to a concealed retrogradely conducting posteroseptal bypass tract and paroxysmal atrial fibrillation were observed. In connection with this case, attention is paid to the difficulties of differential diagnosis and to the pathophysiological correlations concerning the occurrence of neurocardiogenic/vasovagal reflex syncope and cardiac arrhythmias. A prolonged period of freedom from syncope and tachycardia was achieved by means of drug treatment, through the combined administration of disopyramide, bisoprolol and theophylline.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Aged
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Atrial Fibrillation / complications*
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Atrial Fibrillation / drug therapy
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Atrial Fibrillation / physiopathology
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Drug Therapy, Combination
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Heart Conduction System / drug effects
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Heart Conduction System / physiopathology*
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Humans
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Male
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Syncope, Vasovagal / complications*
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Syncope, Vasovagal / drug therapy
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Syncope, Vasovagal / physiopathology
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Tachycardia, Atrioventricular Nodal Reentry / complications*
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Tachycardia, Atrioventricular Nodal Reentry / drug therapy
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Tachycardia, Atrioventricular Nodal Reentry / physiopathology
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Tachycardia, Paroxysmal / complications*
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Tachycardia, Paroxysmal / drug therapy
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Tachycardia, Paroxysmal / physiopathology