COMBINED AMBULATORY ELECTROENCEPHALOGRAPHIC AND ELECTROCARDIOGRAPHIC RECORDINGS FOR EVALUATION OF SYNCOPE

被引:9
作者
BEAUREGARD, LAM [1 ]
FABISZEWSKI, R [1 ]
BLACK, CH [1 ]
LIGHTFOOT, B [1 ]
SCHRAEDER, PL [1 ]
TOLY, T [1 ]
WAXMAN, HL [1 ]
机构
[1] UNIV MED & DENT NEW JERSEY,COOPER HOSP UNIV MED CTR,ROBERT WOOD JOHNSON MED SCH,DEPT MED,CAMDEN,NJ 08103
关键词
D O I
10.1016/0002-9149(91)90497-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Evaluation of patients with syncope often includes a battery of noninvasive tests. In this study, 45 patients (26 with suspected neurologic and 19 with suspected cardiac syncope) were evaluated with simultaneous 24-hour electroencephalographic (EEG) and 2-channel electrocardiographic (ECG) recordings. Isolated cardiac rhythm abnormalities were noted in 21 patients, but none of these was symptomatic and no definitive arrhythmias occurred. Isolated EEG abnormalities were noted in 11 patients, 5 of whom had EEG abnormalities consistent with seizure disorders. Simultaneous EEG and ECG abnormalities were seen in 4 patients. In 2 cases, a Previously unsuspected etiology for syncope was found: seizures in 1 patient with heart disease, and sinus pauses in another thought to have a seizure disorder. Thus, combined ambulatory EEG/ECG monitoring may prove useful in the evaluation of some patients with syncope.
引用
收藏
页码:1067 / 1072
页数:6
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