Recurrent Asystoles Associated with Vasovagal Reaction during Venipuncture
The Korean Journal of Internal Medicine
;
: 232-235, 2000.
Article
in English
| WPRIM
| ID: wpr-171268
ABSTRACT
A 17-year-old high school student presented with a history of habitual faintings. On 24-hour Holter monitoring, cardiac asystoles were recorded, the longest lasting approximately 7 or 8 seconds during venipuncture procedures. The asystole associated with venipuncture demonstrated the cardioinhibitory effects of vasovagal reaction with blood-injury phobia. He also had a positive response during head-up tilt test showing hypotension and relative bradycardia after intravenous isoproterenol injection. After administration of oral beta blocker, he did not show further or recurrent cardiac asystole during blood injury procedure on electrocardiographic examination. Venipuncture is the most common invasive medical procedure performed in hospital settings. While venipuncture is considered to be reasonably safe, serious complication may occur even when only a small volume of blood is withdrawn. Therefore, medical personnel should be prepared to provide appropriate care.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Syncope
/
Vagus Nerve
/
Adolescent
/
Phlebotomy
/
Heart Arrest
Limits:
Humans
/
Male
Language:
English
Journal:
The Korean Journal of Internal Medicine
Year:
2000
Type:
Article
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