ATRIAL DEMAND PACING TO PROTECT AGAINST VAGAL OVERACTIVITY IN SYMPATHETIC AUTONOMIC NEUROPATHY
| Autor: | R. Bannister, W. G. Hendry, D. F. Da Costa, J. Jacobs, Christopher J. Mathias |
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| Rok vydání: | 1986 |
| Předmět: |
Male
Bradycardia Sympathetic Nervous System Autonomic Nervous System law.invention Electrocardiography Heart Conduction System Heart Rate law Reflex Heart rate medicine Humans cardiovascular diseases Atrium (heart) medicine.diagnostic_test business.industry Cardiac Pacing Artificial Vagus Nerve Middle Aged Atropine medicine.anatomical_structure Blood pressure Autonomic Nervous System Diseases Anesthesia Reflex bradycardia cardiovascular system Artificial cardiac pacemaker Colitis Ulcerative Neurology (clinical) Nervous System Diseases medicine.symptom business medicine.drug |
| Zdroj: | Brain. 109:345-356 |
| ISSN: | 1460-2156 0006-8950 |
| DOI: | 10.1093/brain/109.2.345 |
| Popis: | The clinical features, investigation and management of a patient with a subacute autonomic neuropathy are described. A series of physiological and biochemical studies indicated severe but selective sympathetic cardiovascular dysfunction, associated with bradycardia. The bradycardia was enhanced by raising blood pressure but there was no other evidence either of cardiac vagal impairment or hyperreactivity. Oral atropine prevented the bradycardia but had to be withdrawn because of intolerable side effects. An atrial demand pacemaker was implanted to elevate basal heart rate and prevent bradycardia. The pacemaker alone did not improve postural hypotension but it enabled the blood pressure to be readily and safely controlled by a combination of drugs. |
| Databáze: | OpenAIRE |
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