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Case Report

Open Access

Long lasting neurocardiogenic reflex provoked by emotional trigger


1,Teaching Department for Emergency Medical Services Wroclaw Medical University

2,Specialty Hospital of Zgorzelec Emergency Department

3,Department of Cardiology Wroc􀀁aw Medical University


DOI: 10.22514/SV82.102013.10 Vol.8,Issue 2,October 2013 pp.58-60

Published: 17 October 2013

*Corresponding Author(s): DOROTA ZY ŚKO E-mail:


A 53-year-old man presented with a protracted presyncope and profound hypotension and bradycardia due to emotion related vasovagal reaction. Electrocardiogram obtained 20 minutes after the onset of presyncope revealed junctional rhythm at 38 beats per minute (bpm). After supination, clinical symptoms and hemodynamic disturbances immediately resolved. Careful cardiologic evaluation revealed significant stenosed coronary vessels. Maintaining the vertical position may be responsible for persistent bradycardia and hypotension after neurocardiogenic reflex provocation.


neurocardiogenic synco-pe, cardiovascular event

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DOROTA ZY ŚKO,STANISLAW FURTAN,JACEK GAJEK,ARKADIUSZ KAWKA. Long lasting neurocardiogenic reflex provoked by emotional trigger. Signa Vitae. 2013. 8(2);58-60.


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