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A Patient With Syncope, Only “Vagally” Related to the Heart*

Zayd A. Eldadah, MD, PhD; Samer S. Najjar, MD; Roy C. Ziegelstein, MD
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*From the Department of Medicine, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD.

Correspondence to: Roy C. Ziegelstein, MD, Department of Medicine, Division of Cardiology, Johns Hopkins Bayview Medical Center, 4940 Eastern Ave, Baltimore, MD 21224-2780; e-mail: rziegel@jhmi.edu



Chest. 2000;117(6):1801-1803. doi:10.1378/chest.117.6.1801
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Syncope due to atrioventricular block may occur as a result of a cardiac vasodepressor reflex. This article reports a case of syncope in a 58-year-old man with high-grade atrioventricular block documented by ambulatory ECG monitoring at home. What makes this case unusual is that the patient’s principal diagnosis was noncardiac.

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syncope ; heart

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