title: Neurally mediated syncope complicated with paroxysmal atrial fibrillation.
abstract: Recently, it has come to be accepted that the result of the tilt test is specific to neurally mediated syncope (vasovagal syncope). Only rarely is a case of paroxysmal atrial fibrillation without any organic diseases in childhood reported. A case reported here of a 14-year-old boy with neurally mediated syncope; which was complicated by paroxysmal atrial fibrillation, and which was diagnosed by performing the tilt test. Atrial fibrillation can be induced by the extraordinary stimulation of the vagal nerve during syncope. In a child, neurally mediated syncope complicated with paroxysmal atrial fibrillation has not been previously reported.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, University of Tokyo, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Kato
authors.forename: S
authors.initials: S
authors.lastname: Masutani
authors.forename: M
authors.initials: M
authors.lastname: Hoshiyama
authors.forename: K
authors.initials: K
authors.lastname: Shibuya
authors.forename: T
authors.initials: T
authors.lastname: Isoda
authors.forename: T
authors.initials: T
authors.lastname: Hishi
authors.forename: Y
authors.initials: Y
authors.lastname: Murakawa
authors.forename: M
authors.initials: M
authors.lastname: Yanagisawa
mesh_terms: D000293:Adolescent; D001281:Atrial Fibrillation / Q000150:complications* / Q000175:diagnosis; D004562:Electrocardiography; D006801:Humans; D008297:Male; D019462:Syncope, Vasovagal / Q000209:etiology*; D018667:Tilt-Table Test; D014630:Vagus Nerve / Q000503:physiopathology