Intermittent Ventricular Standstill During Chronic Atrial Fibrillation in Patients with Dizziness or Syncope

Rebello, Rosario; Brownlee, W. C.

doi:10.1111/j.1540-8159.1987.tb04963.x

Cited by 17 publications

(4 citation statements)

References 8 publications

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“…Higher frequency of TVSs in patients with AF would be attributed to multiple cardiac embolisms, direct hemodynamic effect or secondary impaired autonomic function due to AF, and intermittent ventricular standstill. 8 Remarkably, the duration of TVSs in our patients with PCOS was mostly a few seconds (55%) or minutes (38%), while the remaining 7% had a duration of hours. This finding suggests that in contrast to ABCD2, shorter vertigo might predict stroke more than the longer one.…”

Section: Discussionmentioning

confidence: 60%

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Transient Vestibular Symptoms Preceding Posterior Circulation Stroke: A Prospective Multicenter Study

Kim

Choi

et al. 2021

Stroke

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Background and Purpose: The recognition of clinical features of transient vestibular symptoms (TVSs) preceding posterior circulation stroke (PCOS) would be informative to discriminate dizziness/vertigo due to vertebrobasilar transient ischemic attack from the acute transient vestibular syndrome. We sought to determine the prevalence and characteristics of TVSs preceding PCOS. Methods: We performed a prospective multicenter observational study that had recruited 447 patients with PCOS from referral-based 4 university hospitals in Korea. We investigated the timing, pattern, frequency, duration, and accompanying neurological symptoms of TVSs during the 3 months preceding PCOS. Results: The prevalence of TVSs preceding PCOS was 12% (55/447) during the previous 3 months. The TVSs preceding PCOS occurred within 1 week (33%), between 1 week and 1 month (16%), or between 1 and 3 months (51%). The TVSs were mostly dizziness/vertigo with (36%) or without (60%) imbalance, while the remaining 4% had an isolated imbalance. The dizziness/vertigo was spinning in 38% and was aggravated during head position in 45%. The duration of TVSs was mostly a few seconds (55%) or minutes (38%). Approximately 72% of the patients with PCOS had TVSs 1 to 5 times, while 16% had >10 times. Accompanying neurological symptoms, including headache, tinnitus, limb weakness, sensory change, dysarthria, visual field defect, and diplopia, were reported in 11%. Conclusions: Preceding TVSs can occur in 12% of PCOS during the previous 3 months. Isolated dizziness/vertigo of unknown cause needs to be considered as a vertebrobasilar transient ischemic attack symptom, especially in patients with vascular risk factors. The characteristics of isolated vestibular symptom in vertebrobasilar transient ischemic attacks is highly variable and atypical compared with other transient ischemic symptoms.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Transient Vestibular Symptoms Preceding Posterior Circulation Stroke: A Prospective Multicenter Study

Kim

Choi

et al. 2021

Stroke

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“…2,13,14 Previous studies yielded contradictory findings as to whether pacemaker implantation can improve cerebral symptoms of permanent AF patients accompanied by ventricular pauses. Rebello and Brownlee 15 reported that pacemaker implantation might improve cerebral symptoms, while Saxon et al 16 found that the specificity of dizziness, syncope, and other cerebral symptoms confirmed by 24-hour Previous studies on this issue were nonrandomized trials, the follow-up periods were relatively short, and the enrolled patients with ventricular pauses include those with AF, sinus pause, or high-grade atrioventricular block. This study is the first prospective, randomized controlled study to evaluate whether pacemaker implantation could reduce sudden cardiac death and prolong the survival of permanent AF patients with ventricular pauses 3 seconds.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pacemaker Implantation on Sudden Cardiac Death Rate and Quality of Life in Atrial Fibrillation Patients With Ventricular Pauses

Hong

et al. 2021

Angiology

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Ventricular arrest is a rare arrhythmic disease in the clinic; 35% to 55% of cases are associated with atrial fibrillation (AF). It is well known that ventricular arrest for ≥3 seconds can lead to brain symptoms such as dizziness and even syncope, but it is not clear whether ventricular pauses (≥3 seconds) with AF will lead to sudden cardiac death. If the implantation of a pacemaker can improve the quality of life of patients with permanent AF with ventricular arrest and whether it has a long-term protective effect on sudden cardiac death. To this end, we conducted a prospective follow-up observation study, which was conducted through telephone interviews and clinical hospital observation to obtain information on the quality of life, survival rate, and other details. The results show that for patients with permanent AF with ventricular arrest, pacemaker implantation cannot reduce sudden cardiac death, cardiovascular events, and stroke nor can it improve the cumulative survival rate. Fortunately, the implantation of pacemakers can improve the quality of life of patients.

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“…Rebello however, found a significant improvement in cerebral symptoms after placement of a pacemaker in patients with atrial fibrillation and intermittent ventricular standstill 10 …”

Section: Discussionmentioning

confidence: 99%

Complete Heart Block Presenting as Intermittent Delirium: Case Report and Review of the Literature on Cardiac Disease in the Elderly

Fearon

LaPalio²

1992

J American Geriatrics Society

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Intermittent Ventricular Standstill During Chronic Atrial Fibrillation in Patients with Dizziness or Syncope

Cited by 17 publications

References 8 publications

Transient Vestibular Symptoms Preceding Posterior Circulation Stroke: A Prospective Multicenter Study

Transient Vestibular Symptoms Preceding Posterior Circulation Stroke: A Prospective Multicenter Study

Effects of Pacemaker Implantation on Sudden Cardiac Death Rate and Quality of Life in Atrial Fibrillation Patients With Ventricular Pauses

Complete Heart Block Presenting as Intermittent Delirium: Case Report and Review of the Literature on Cardiac Disease in the Elderly

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