Duygu TAŞKIN, Zeynep ERSOY, Özgür KÖMÜRCÜ, Aynur FIRAT CAMKIRAN

VAZOVAGAL SENKOP: OLGU SUNUMU

Vazovagal senkop, kan basıncında ve kalp hızında düşme sonucunda kısa süreli bilinç kaybı oluşması durumudur. Ağrı, stres, dehidratasyon, uzun süre ayakta kalma gibi durumlar çoğunlukla senkop oluşmasına neden olabileceği gibi herhangi bir tetikleyici f aktör olmadan da senkop görülebilir. Bu yazıda preoperatif değerlendirme sırasında ve operasyon esnasında vazovagal senkop geçiren hastaya yaklaşım anlatılmaktadır.

A CASE OF VASOVAGAL SYNCOPE

Vasovagal syncope is a situation of losing consciousness caused by a f all in blood pressure and heart rate. Situations like pain, stress, dehdyration, standing up f or a long time causes syncopes; however, even without any situation vazovagal syncope can be seen. In this case report, the approach f or the patient who had vasovagal syncope into preoperative evaluation and during the operation is described.

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1. Kapoor WN, Syncope. N Engl J Med 2000; 343: 1856-1862.
2. Gan HW, Lim BC, Teo WS. Electrocardiographical case. Young woman with frequent syncope attacks. Singapore Med J 2007; 48: 1061-1063.
3. Tadros GM, Oren JW, Costello JM. Syncope in young patients I: an approach tothe patient with syncope. Hosp Physician 2002; 38: 47-54.
4. Alboni P, Alboni M, Bertorelle G. Originan devolution of vasovagal syncope. G Ital Cardiol 2010; 11: 20-27.
5. Tan MP, Parry SW. VasovagalSyncope in the Older Patient. J Am Coll Cardiol 2008; 51: 599-606.
6. Zysko D, Szewczuk-Boguslawska M, Kaczmarek M, et al. Reflex syncope, anxietylevel, and family history of cardiovascular disease in young women: case-control study. Europace 2015; 17: 309-313.
7. Márquez MF, Urias KI, Hermosillo AG, et al. Familial vasovagals yncope. Europace 2005; 7: 472-474.
8. Lombroso CT, Lerman P. Breat holding spells (cyanotic and pallid infantile syncope). Pediatrics 1967; 39: 56-581.
9. Wieling W, Ganzeboom KS, Saul JP. Reflex syncope in children and adolescents. Heart 2004; 90: 1094-1100.
10. Ganzeboom KS, Colman N, Reitsma JB, et al. Prevalence and triggers of syncope in medica lstudents. Am J Cardiol 2003; 91: 1006-1008.
11. Ammirati F, Colivicchi F, Santini M. Diagnosing syncope in clini- cal practice. Implementation of a simplified diagnostic algorithm in a multicentre prospective trial the OESIL 2 study (Osservatorio Epidemiologicodella Sincopene lLazio). Eur Heart J 2000; 21: 935-940.
12. Chen-Scarabelli C, Scarabelli TM. Neurocardiogenic syncope. BMJ 2004; 329: 336-341.
13. Zaqqa M, Massumi A. Neurally mediated syncope. Tex Heart Institute J 2000; 27: 268-272.
14. Wakita R, Ohno Y, Yamazaki S, Kohase H, Umino M. Vasovagal syncope with asystole associated with intravenous access Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102: 28-32.
15. Coffin S, Raj S. Non-invasive management of vasovagal syncope. Auton Neurosci. 2014; 184: 27-32.
16. Petersen ME, Chamberlain-Webber R, Fitzpatrick AP, et al. Permenant pacing for cardioinhibitory malignant vasovagalsyndrome. Br Hear J 1994; 71: 274-281.
17. Hargreaves AD, Kolettis T, Jacob AJ, Flint LL, Turnbull LW, Muir AL, Boon NA. Early vasodilato rtreatment in myocardial infarction: appropriate for the majority or minority? Br Heart J. 1992; 68: 369-373.
18. Sharma G, Boopathy Senguttuvan N, Juneja R, Kumar Bahl V. Neurocardiogenic syncope during a routine colonoscopy: an uncommon malignant presentation. Intern Med. 2012; 51: 891-893.
19. McConachie I. Vasovagal asystole during spinal anaesthesia. Anaesthesia 1991; 46: 281-282.
20. Colman N, Nahm K, Ganzeboom KS, et al. Epidemiology of reflex syncope. Clin Auton Res 2004; 14: 9-17.
21. Brignole M, Alboni P, Benditt DG, et al. Guidelines on management of syncopeupdate 2004, The task force on syncope, Europea Society of Cardiology. Eur Heart J 2004; 25: 2054-2072.
22. White CM, Tsikouris JP. A review of pathophysiology and therapy of patients with vasovagal syncope. Pharmacotherapy 2000; 20: 158-165.
23. Samniah N, Sakaguchi S, Lurie KG, Iskos D, Benditt DG Efficacy and safety of midodrine hydrochloride in patients with refractory vasovagal syncope. Am J Cardiol 2001; 88: 80-83.
24. Moore A, Close JC, Jackson SH. A refractory case of vasovagal syncope treated with theophylline. ClinAutonRes 2003; 13: 293-294.
25. DiGirolamo E, DiIorio C, Leonzio L, Sabatini P, Ranalli G, Barsotti A. Effectiveness of paroxetine in thetreatment of refractory vasovagal syncope in young patients. G Ital Cardiol 1999; 29: 1472-1477.