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Case Reports
. 2018 Apr 21;4(7):314-317.
doi: 10.1016/j.hrcr.2018.04.004. eCollection 2018 Jul.

Late-onset asystolic episodes in a patient with a vagal nerve stimulator

Theresa Ratajczak  1 , Robert Blank  1 , Analkumar Parikh  2 , Abdul Wase  1
Affiliations
Case Reports

Late-onset asystolic episodes in a patient with a vagal nerve stimulator

Theresa Ratajczak et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Cardiac syncope; Pacemaker; Refractory epilepsy; Vagal nerve innervation; Vagal nerve stimulator.

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Figures

Figure 1
Figure 1
Severe symptomatic bradycardia with heart rate of 46 beats per minute, which coincided with a syncopal episode as stated in patient's primary care note. A: LINQ report of severe bradycardia. B: LINQ tracing of severe bradycardia.
Figure 2
Figure 2
Sinus pause of 10 seconds that coincided with a syncopal event as stated in patient's medical record. A: LINQ report of sinus pause. B: LINQ tracing of sinus pause.
Figure 3
Figure 3
A: Radiograph showing patient's vagal nerve stimulator (VNS) on the left side of chest and pacemaker on the right side of chest. B: Radiograph showing patient's VNS prior to the procedure.
See this image and copyright information in PMC

References

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    1. Mann D.L., Zipes D.P., Libby P., Bonow R.O. Elsevier/Saunders; Philadelphia, PA: 2015. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine; pp. 658–659.
    1. Pascual F. Vagus nerve stimulation and late-onset bradycardia and asystole: case report. Seizure. 2015;26:5–6. - PubMed
    1. Cyberonics Healthcare Professionals FAQs. Available at https://us.livanova.cyberonics.com/healthcare-professionals/faqs. Accessed April 4, 2018.
    1. Tomova G.S., Do D.H., Krokhaleva Y., Honda H., Buch E., Boyle N. ‘Runaway’ vagal nerve stimulator: a case of cyclic asystole. HeartRhythm Case Reports. 2016;2:388–390. - PMC - PubMed

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