title: Vasovagal syncope initiating ventricular fibrillation in a healthy subject.
abstract: A 62-year-old man with cured lymphoma as only significant medical history experienced a first reflex syncope after prolonged orthostatic posture, with cardiac arrest. Prolonged asystole was followed by ventricular fibrillation needing external defibrillation. The defibrillator provided complete recordings. Thorough investigation revealed no cardiac abnormalities apart from a few right ventricular outflow tract premature complexes. This patient benefitted from implantation of an ICD for ventricular fibrillation secondary to reflex syncope, usually considered benign.
authors.affiliation: Dept. of Cardiology, Rhythm Unit, CHU UCL Mont-Godinne, Yvoir, Belgium. caroline.lepiece@hotmail.be
authors.forename: Caroline
authors.initials: C
authors.lastname: Lepiece
authors.affiliation: Dept. of Cardiology, Rhythm Unit, CHU UCL Mont-Godinne, Yvoir, Belgium.
authors.forename: Fabien
authors.initials: F
authors.lastname: Dormal
authors.affiliation: Dept. of Cardiology, Rhythm Unit, CHU UCL Mont-Godinne, Yvoir, Belgium.
authors.forename: Dominique
authors.initials: D
authors.lastname: Blommaert
mesh_terms: D004554:Electric Countershock / Q000379:methods*; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019462:Syncope, Vasovagal / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D014693:Ventricular Fibrillation / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy