title: An atypical case of vagally mediated atrial fibrillation in an elderly woman: electrocardiographic caveats to diagnosis.
abstract: Vagally mediated paroxysmal atrial fibrillation is typically described to occur in otherwise healthy young-to-middle aged males during periods of high vagal tone. We report a case of cardioinhibitory type neurocardiogenic syncope associated with atrial fibrillation in an elderly female during episodes of nausea. This was replicated during tilt-table testing. The atrial fibrillation was part of a unique snap shot of the entire electrophysiological spectrum of the vagal response captured in detail in this index patient.
authors: Division of Electrophysiology, Heart & Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State University, Hershey, PA.
authors: Chenni S
authors: CS
authors: Sriram
authors: Division of Electrophysiology, Heart & Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State University, Hershey, PA.
authors: Gerald V
authors: GV
authors: Naccarelli
authors: Division of Electrophysiology, Heart & Vascular Institute, Penn State Milton S. Hershey Medical Center, Penn State University, Hershey, PA. Electronic address: jluck@hmc.psu.edu.
authors: Jerry C
authors: JC
authors: Luck
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000175:diagnosis* / Q000503:physiopathology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D012008:Recurrence; D019462:Syncope, Vasovagal / Q000175:diagnosis* / Q000503:physiopathology*; D018667:Tilt-Table Test
keywords: Complete atrioventicular block; Syncope; Vagally mediated atrial fibrillation