[Malignant vasovagal syncope: a case of prolonged asystole induced by the "tilt" test and aggravated by therapy with a beta blocker (a clinical case and diagnostic, physiopathologic and therapeutic review)].
The authors describe a case of a middle-age male with recurrent syncope, in whom the tilt test was useful in the diagnosis and therapeutic evaluation. Malignant criteria of vasovagal syncope were established and the beta blocking worsening effect was documented, in spite of the general agreement of the first choice drug.
Freitas
J
J
Serviço de Cardiologia, Hospital de São João.
Puig
J
J
Campos
J
J
Garcia
J M
JM
Cunha
D L
DL
Carvalho
M J
MJ
Costa
O
O
Gomes
M C
MC
Freitas
A F
AF
D000328:Adult; D002220:Carbamazepine / Q000008:administration & dosage; D004562:Electrocardiography / Q000187:drug effects; D006323:Heart Arrest / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D006334:Heart Function Tests / Q000009:adverse effects* / Q000187:drug effects; D006801:Humans; D008297:Male; D011187:Posture; D011433:Propranolol / Q000009:adverse effects*; D012601:Scopolamine / Q000008:administration & dosage; D013575:Syncope / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology
D002220:Carbamazepine; D011433:Propranolol; D012601:Scopolamine
Síncope vasovagal maligna: um caso de assistolia prolongada induzida pelo teste de "tilt" e agravada pela terapêutica com bloqueador beta (caso clínico e revisão diagnóstica, fisiopatológica e terapêutica).