Interesting Cases
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Interesting Cases
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Please write your questions, opinions or comments about the cases in Discussion Forum.
A patient with severe heart failure has been investigated by Holter monitoring. He denied any symptoms during the recording. >>> Next Page
A middle-aged engineer was referred for consideration of pacemaker implantation because of sinus bradycardia. He had recently noted a fatigue on moderate activity but denied any dyspnea or chest pain. Previous investigations had shown normal coronary arteries but a severely reduced EF (about 25%). A Holter monitoring revealed new abnormalities. >>> Next Page
A young man was referred to Dr. Hasan Rashidi for routine yearly examinations. He had just passed his training course and was ready to start his job as a pilot. His ECG was abnormal
What would be your next step? >>> Next Page
An 18-year old young man was referred because of 3 episodes of syncope during the last 3 months, one of them ending up in sutures on head. Attacks had occurred while standing or sitting with no prodromes. Preliminary examinations were negative except for a sinus bradycardia in the range of 50-55 bpm. A 24-hour Holter recording had been unremarkable except for a sinus bradycardia, in the physiologic range, during sleep. Head-up tilt test
was negative. An electrophysiologic study including measurement of sinus node
recovery indices and AV conduction was unremarkable. We decided to implant an
"implantable loop recorder" (ILR).
Within a few weeks he had another attack of syncope and the event was captured by the ILR.
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