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Usefulness of an Implantable Loop Recorder in Diagnosing Unexplained Syncope and Predictors for Pacemaker Implantation

Lee SH, Kim TH, Oh YS, Oh S, Choi JI, Kim JB, Nah JC, Im SI, Kang KW, Han S, Kim JS

BACKGROUND: An implantable loop recorder (ILR) is an effective tool for diagnosing unexplained syncope (US). We examined the diagnostic utility of an ILR in detecting arrhythmic causes of US and...
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Rotational vertebral artery syndrome treated via an anterior approach and selective decompression only

Kang JH, Im SB, Jeong JH, Shin DS

We present the case of a 38-year-old male who complained of repeated dizziness and syncope. Rotational vertebral artery syndrome (RVAS) was diagnosed via videonystagmoraphy (VNG), computed tomography angiography (CTA) and...
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Acute cardiovascular complications in patients with diabetes and hypertension: management consideration for minor oral surgery

Jadhav AN, Tarte PR

OBJECTIVES: Medically compromised patients often fear required dental surgical procedures that can increase the risk of medical emergency when combined with reduced tolerance for stress. A stress reduction protocol (SRP)...
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Electrocardiogram and cardiac testing among patients in the emergency department with seizure versus syncope

White JL, Hollander , Pines JM, Mullins PM, Chang AM

OBJECTIVE: Cardiogenic syncope can present as a seizure. The distinction between seizure disorder and cardiogenic syncope can only be made if one considers the diagnosis. Our main objective was to...
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Sports-related skin conditions

Kim KH

Skin diseases associated with athletic activities can be classified as skin infections, inflammatory reactions, trauma, and abnormal proliferation, depending on the cause of the condition. Athlete's nodule is a generic...
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Heart rate recovery and diastolic blood pressure ratio on the treadmill test predict an induction and recurrence of vasovagal syncope

Choi YJ, Kang KW, Jang SH, Kim JG, Lee SJ, Jung KT

BACKGROUND/AIMS: The induction and recurrence of syncope is a concerning situation that could be unpredicted in the vasovagal syncope (VVS). We investigated a simple predictor for the induced and recurrent...
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Paroxysmal Seizure-Like Activities Caused by Unrecognized Acute Myocarditis Masquerading as Febrile Seizures in Children

Jeong SH, Nam SO, Lee HD, Park JA, Byun SY, Ko H, Ko A, Kong J, Kim YM, Lee YJ

PURPOSE: Recognition of cardiogenic syncope caused by acute myocarditis masquerading as febrile seizures (FS) in children can be difficult in the emergency department (ED) before a cardiac work-up. We aimed...
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Multimodality Imaging for the Assessment of Severe Aortic Stenosis

Park SJ, Dweck MR

Aortic stenosis is the most common type of valvular heart disease. Aortic stenosis is characterized both by progressive valve narrowing and the left ventricular remodeling response that ensues. In aortic...
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Prognosis of patients with postural tachycardia syndrome: a follow-up study

Kang SY, Kim HJ, Ko KH

BACKGROUND: Postural tachycardia syndrome (POTS) refers to the presence of orthostatic intolerance symptoms associated with a heart rate increment of greater than 30 beats/min, usually up to 120 beats/min, on...
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A case of acute organic solvent poisoning during epoxy coating

Lee S, Kim I, Park D, Song J, Lee SG

BACKGROUND: In the construction industry, maintaining health and safety of workers often challenging. Among the workers at construction sites, painters are at particular risk of respiratory diseases and neurotoxicity. However,...
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2018 KHRS guideline for the evaluation and management of syncope: Part 2

Kim YR, Chun KJ, Kim JS, Mun HS, Park J, Seo DW, Song MK, Ahn J, Yoon H, Lee DI, Lee YS, Cha MJ, Bae EJ, Kim DH

The general concept and initial approach to syncope patients has been mentioned in the general sections. This special sections have been described the characteristics, diagnosis, and treatment with patient education...
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2018 KHRS guideline for the evaluation and management of syncope: Part 1

Park J, Cha MJ, Kim DH, Kim YR, Mun HS, Bae EJ, Seo DW, Song MK, Ahn J, Yoon H, Lee YS, Chun KJ, Lee DI, Kim JS

Syncope is a very common symptom that occurs in all age groups, especially in adolescents and elderly people. The cause of syncope is very diverse, and patients with syncope visit...
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Prevalence of Operation Room-Related Syncope and Presyncope among Medical Students

Choi SJ, Park KH, Han KH, Park EY, Kim SH, Uh Y

Attending the operation room is an essential part of surgical clerkships. Syncope or presyncopal attacks in the operation room may negatively affect students' learning and career development. This study set...
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Symptomatic Bilateral Carotid Artery Occlusion: An Uncommon Pattern of Carotid Pathology

Maltezos C, Anastasiadou C, Papapetrou A, Galyfos G, Sachmpazidis I, Papacharalampous G

We report an unusual case of an 83-year-old man who was admitted with dizziness and repeated drop attacks. He was diagnosed with bilateral carotid artery occlusion and he underwent a...
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Use of stellate ganglion block for treatment of recurrent syncope followed by chest pain

Kim YU, Shin YJ, Cho YW

Syncope is defined as a transient loss of consciousness and postural tone, characterized by rapid onset, short duration, and spontaneous recovery. Stellate ganglion block (SGB) is a nerve block method...
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Disappearance of pericardial effusion by suspected pericardial-pleural fistulain a Miniature Schnauzer dog

Kim H, Kang JH, Chang D

A 13-year-old spayed female Miniature Schnauzer was presented with complaints of intermittent syncope. Pericardial effusion was confirmed based on the physical examination, thoracic radiographs and echocardiography. Subsequently, prompt pericardiocentesis was...
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Postprandial Dizziness/Syncope Relieved by Alfa-Glucosidase Inhibitor: A Case Report

An H, Jeong SH, Kim HJ, Sohn EH, Lee AY, Kim JM

A 74-year-old man presented with positional vertigo and prandial dizziness and syncope. He had experienced episodes of frequent dizziness and loss of consciousness for several months. He underwent total gastrectomy...
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Autonomic Dysfunction in Dizziness Clinic

Cho EB, Park KJ

Orthostatic dizziness is a common type of dizziness. In general, orthostatic dizziness is provoked by standing or tilting, and subsided by supine position. The patient with orthostatic intolerance complains multiple...
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Acute Pulmonary Embolism: Focus on the Clinical Picture

Morrone D, Morrone V

Acute pulmonary embolism (APE) is characterized by numerous clinical manifestations which are the result of a complex interplay between different organs; the symptoms are therefore various and part of a...
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A single emergency center study on the Canadian Syncope Risk Score applied to a patients visited with syncope in Korea

Lee KW, Park YS, Choe MS, Je DW, Kim SH, Nho WY, Park HI, Shin SJ, Lee MJ, Ahn JY, Lee DE, Moon S, Lee SH

OBJECTIVE: Syncope is mostly benign, but it can also be caused by a life-threatening situation. In Korea, no studies have investigated application of the Canadian Syncope Risk Score (CSRS) to...
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