open access

Vol 13, No 6 (2006): Folia Cardiologica
Case Reports
Published online: 2006-07-10
Submitted: 2013-01-14
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ST-elevation in a patient with vasovagal syncope

Dorota Zyśko, Jacek Gajek, Jacek Smereka, Igor Chęciński, Ryszard Ściborski, Walentyna Mazurek
Folia Cardiol 2006;13(6):530-532.

open access

Vol 13, No 6 (2006): Folia Cardiologica
Case Reports
Published online: 2006-07-10
Submitted: 2013-01-14

Abstract

We describe a case of a 68-year-old man with known ischaemic heart disease, who passed out after nitroglycerine administration. He had triple-vessel ischaemic heart disease and had suffered from myocardial infarction about 17 years prior to this incident. An ECG revealed ST-segment elevation in the anterior leads. The elevations lasted at least 40 minutes and no longer than 60 minutes. No troponin I level elevation was detected in two subsequent blood samples. The probable causes of ST-segment elevation in this patient are discussed. In our opinion ST-segment elevation was caused by a combination of hypervagotonia and transient myocardial ischaemia.

Abstract

We describe a case of a 68-year-old man with known ischaemic heart disease, who passed out after nitroglycerine administration. He had triple-vessel ischaemic heart disease and had suffered from myocardial infarction about 17 years prior to this incident. An ECG revealed ST-segment elevation in the anterior leads. The elevations lasted at least 40 minutes and no longer than 60 minutes. No troponin I level elevation was detected in two subsequent blood samples. The probable causes of ST-segment elevation in this patient are discussed. In our opinion ST-segment elevation was caused by a combination of hypervagotonia and transient myocardial ischaemia.
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Keywords

vasovagal syncope; myocardial infarction; ST-elevation

About this article
Title

ST-elevation in a patient with vasovagal syncope

Journal

Cardiology Journal

Issue

Vol 13, No 6 (2006): Folia Cardiologica

Pages

530-532

Published online

2006-07-10

Bibliographic record

Folia Cardiol 2006;13(6):530-532.

Keywords

vasovagal syncope
myocardial infarction
ST-elevation

Authors

Dorota Zyśko
Jacek Gajek
Jacek Smereka
Igor Chęciński
Ryszard Ściborski
Walentyna Mazurek

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