ST-elevation in a patient with vasovagal syncope

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

Vol 13, No 6 (2006): Folia Cardiologica

Case Reports

Submitted: 2013-01-14

Published online: 2006-07-10

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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.

Vol 13, No 6 (2006): Folia Cardiologica

Case Reports

Submitted: 2013-01-14

Published online: 2006-07-10

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.