Pacemaker implantation based on ambulatory ECG monitoring in patients with cerebral symptoms.
Continuous ambulatory ECG monitoring was performed in 110 patients because of a history of dizziness, alleged syncope of vague cerebral manifestations. The resting ECG failed to provide an explanation for symptoms in any of the patients. In 12 patients the monitoring revealed a variety of arrhythmic mechanisms which required pacemaker implantation. Five of these patients had sick sinus syndrome with episodes of prolonged sinus arrest, while in the others various degrees of A-V block were detected. Implantation of a pacemaker relieved the symptoms in all. It is concluded that ambulatory ECG monitoring is essential in evaluating cases of unexplained cerebral symptoms.
D000368:Aged; D001146:Arrhythmia, Sinus / Q000175:diagnosis; D001145:Arrhythmias, Cardiac / Q000175:diagnosis*; D001281:Atrial Fibrillation / Q000175:diagnosis; D001919:Bradycardia / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009461:Neurologic Manifestations; D010138:Pacemaker, Artificial; D013575:Syncope; D014717:Vertigo