The Rate of Asystolic Reflex Syncope Is Not Influenced by Age
Michele Brignole, MD, Antonella Groppelli, MD, Vincenzo Russo, MD, Artur Fedorowski, MD, Gert van Dijk, MD, Paolo Alboni, MD
Medical director: Doc. Cinchini Elisabetta
Paolo Alboni
Section of Cardiology, Ospedale Privato Quisisana, Ferrara, Italy
Abstract
Electrocardiogram of a patient affected by hypertrophic cardiomyopathy showed normal PR and QRS intervals and signs of left ventricular hypertrophy. In leads I,V5 and V6 the initial q waves were absent. A subsequent electrocardiogram revealed the appearance of prominent anterior QRS forces expressed by a change from rS to R pattern in leads V2 and V3 with a tall R wave in V2. PR and QRS intervals and QRS axis remained substantially unchanged. Other electrocardiograms showed day-to-day variations of the anterior displacement of QRS complex. The different degrees of anterior displacement appear to be an expression of an underlying left septal fascicular block, but a diagnosis cannot be made with certainty.
Michele Brignole, MD, Antonella Groppelli, MD, Vincenzo Russo, MD, Artur Fedorowski, MD, Gert van Dijk, MD, Paolo Alboni, MD
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