Highlights a rare case of severe partial heart block caused by increased vagal tone leading to syncope in a pediatric patient.
Consider vagal tone in unexplained pediatric syncope; leaves open questions of prevalence and management.
Case Reports1 March 1939PARTIAL HEART BLOCK DUE TO INCREASED VAGUS ACTION; A CASE REPORTROBERT C. LEVY, M.D.ROBERT C. LEVY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-12-9-1525 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis rare case of severe heart block due to vagus influences is reported because of the paucity of such cases in the literature. It is felt that the report of such cases will help to draw attention to what must be of more frequent occurrence than the published instances would indicate.CASE REPORTR. A., a 14 year old school boy, was referred to us in the Medical Clinic on December 30, 1933 to determine the cause of his fainting spells. He had been admitted to the Surgical Clinic on March 25 for a recent fracture of the right humerus,...Bibliography1. WEISSFERRIS SEB: Adams-Stokes syndrome with transient complete heart block of vagovagal reflex origin: mechanism and treatment, Arch. Int. Med., 1934, liv, 931. CrossrefGoogle Scholar2. WEISS S: Syncope and related syndromes, Oxford System of Medicine, 1929, ii, 250. Google Scholar3. MORZAHN H: Klinischer Beitrag zur Frage funktioneller Reizleitungsstörungen, Klin. Wchnschr., 1936, xv, 486. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chicago, Illinois*Received for publication May 16, 1938.From the Cardiovascular Department, Michael Reese Hospital, Chicago, Illinois.Aided by the A. D. Nast Fund for Cardiac Research. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byWenckebach A-V block: A frequent feature following heavy physical trainingRelationships between psychological factors and cardiac rhythm and electrical disturbancesSinoauricular Block with Wenckebach Periods, with Concurrent Second Degree Atrioventricular Block with Wenckebach Periods: Their Occurrence in a Presumably Healthy Young AdultDAILY RUNNING CAUSING WENCKEBACH HEART-BLOCKThe Adams-Stokes syndrome during normal sinus rhythm and transient heart blockDie Rhythmusstörungen des Herzens (einschließlich der intramuralen Leitungsstörungen und des Alternans)Second degree heart block with Wenckebach phenomenon: Its occurrence over a period of several years in a young healthy adultSecond-degree heart block and Wenckebach phenomenon associated with anxietyPartial A-V Block and Duodenal UlcerIncomplete heart block produced by changes in postureStudies on the auriculoventricular conduction time of normal children and of rheumatic children without signs of rheumatic activity 1 March 1939Volume 12, Issue 9Page: 1525-1529KeywordsHeartHumerusResearch fundingSyncope Issue Published: 1 March 1939 PDF downloadLoading ...
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R. C. Levy (1939) studied this question.
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