MICRONEUROGRAPHIC EVIDENCE OF SUDDEN SYMPATHETIC WITHDRAWAL IN CAROTID-SINUS SYNCOPE - TREATMENT WITH ERGOTAMINE

被引：15

作者：

COSTA, F

BIAGGIONI, I

机构：

[1] VANDERBILT UNIV,CLIN RES CTR,CTR AUTON DYSFUNCT,NASHVILLE,TN 37232

[2] VANDERBILT UNIV,DEPT MED,DIV CLIN PHARMACOL,NASHVILLE,TN

[3] VANDERBILT UNIV,DEPT PHARMACOL,DIV CLIN PHARMACOL,NASHVILLE,TN

来源：

CHEST | 1994年 / 106卷 / 02期

关键词：

D O I：

10.1378/chest.106.2.617

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A proportion of patients with carotid sinus syncope (CSS) remain symptomatic even after pacemaker implantation because of persistence of a vasodepressor component. We report a patient with CSS whose syncopal episodes could be reproduced by carotid sinus massage and were due to profound hypotension associated with sudden sympathetic withdrawal, based on direct measurements of sympathetic nerve traffic. A double-blind trial with inhaled ergotamine provided significant symptomatic relief.

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收藏

页码：617 / 620

页数：4

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