"109428" . . "RIV/00159816:_____/13:00060741" . . "Synkopa multifaktori\u00E1ln\u00ED etiologie nebo n\u011Bkolik p\u0159\u00EDznak\u016F jedn\u00E9 choroby? - sout\u011B\u017En\u00ED kazuistika"@cs . . "Kazuistika popisuje p\u0159\u00EDpad mlad\u00E9 \u017Eeny, kter\u00E1 byla opakovan\u011B vy\u0161et\u0159ov\u00E1na pro synkop\u00E1ln\u00ED a presynkop\u00E1ln\u00ED stavy. Prezentovala se atypick\u00FDmi p\u0159\u00EDznaky, kter\u00E9 dohromady obt\u00ED\u017En\u011B odpov\u00EDdaly jednotliv\u00FDm zn\u00E1m\u00FDm kategori\u00EDm synkop, postupn\u011B byly \u010Detn\u00FDmi diagnostick\u00FDmi metodami vylu\u010Dov\u00E1ny mo\u017En\u00E9 p\u0159\u00ED\u010Diny jej\u00EDch pot\u00ED\u017E\u00ED. Byl j\u00ED implantov\u00E1n nahr\u00E1vac\u00ED syst\u00E9m Reveal. Vzhledem k z\u00E1chytu bradykardie n\u00E1sledn\u011B implantov\u00E1n pacemaker v re\u017Eimu DDD. Onemocn\u011Bn\u00ED vyvrcholilo po 18 m\u011Bs\u00EDc\u00EDch od za\u010D\u00E1tku vy\u0161et\u0159ov\u00E1n\u00ED t\u011B\u017Ek\u00FDm stavem s opakovanou nutnost\u00ED kardiopulmon\u00E1ln\u00ED resuscitace. A\u017E pot\u00E9 byl na z\u00E1klad\u011B z\u00E1chytu komorov\u00E9 tachykardie a typick\u00E9ho EKG n\u00E1lezu diagnostikov\u00E1n Brugada syndrom a \u00FAsp\u011B\u0161n\u011B prob\u011Bhla implantace ICD. Cel\u00FD p\u0159\u00EDpad byl d\u00E1le komplikov\u00E1n pokra\u010Duj\u00EDc\u00EDmi presynkop\u00E1ln\u00EDmi stavy se sinusov\u00FDmi tachykardiemi a v\u00FDrazn\u00FDmi v\u00FDkyvy krevn\u00EDho tlaku. Toto d\u00E1le zt\u011B\u017Eovalo diferenci\u00E1ln\u00ED diagnostiku. Po vylou\u010Den\u00ED dal\u0161\u00EDch mo\u017En\u00FDch p\u0159\u00ED\u010Din byla fin\u00E1ln\u011B diagnostikov\u00E1na t\u011B\u017Ek\u00E1 autonomn\u00ED dysfunkce potencovan\u00E1 dlouhodobou hospitalizac\u00ED, kter\u00E1 je uspokojiv\u011B kontrolov\u00E1na relativn\u011B vysokou d\u00E1vkou betablok\u00E1toru." . . . . "Syncope of multifactorial etiology or several symptoms of the same disease? - competition case report"@en . . "Synkopa multifaktori\u00E1ln\u00ED etiologie nebo n\u011Bkolik p\u0159\u00EDznak\u016F jedn\u00E9 choroby? - sout\u011B\u017En\u00ED kazuistika" . "4" . "This case report describes a young woman who was examined for recurrent presyncopal and syncopal states. She had atypical symptoms difficult to classify to one of known categories of syncopes. Using numerous diagnostic methods we gradually eliminated all possible causes. She received the Reveal recording system subsequently followed by an implantation of a DDD pacemaker, because of detection of bradycardia. After 18 months from the beginning of our investigation the disease culminated in a serious deterioration of her state with recurrent need of cardio-pulmonary resuscitation, which led to diagnosis of Brugada syndrome based on the detection of ventricular tachycardia and typical ECG changes. This was followed by successful ICD implantation. The case was further complicated by ongoing presyncopes, with sinus tachycardia and marked changes of her blood pressure. Because of this, the differential diagnosis was even more difficult. After exclusion of other possible causes, severe autonomic dysfunction augmented by long-term hospitalization was finally diagnosed. Therapeutically the patient is now successfully controlled by a relatively high dose of beta-blocker."@en . . . "Nov\u00E1k, Miroslav" . "[7080A74D397F]" . "Synkopa multifaktori\u00E1ln\u00ED etiologie nebo n\u011Bkolik p\u0159\u00EDznak\u016F jedn\u00E9 choroby? - sout\u011B\u017En\u00ED kazuistika" . . "1212-4540" . "Syncope of multifactorial etiology or several symptoms of the same disease? - competition case report"@en . "Dvo\u0159\u00E1k, Ivo" . "15" . "Moravcov\u00E1, Hana" . . "Balc\u00E1rkov\u00E1, Pavla" . "K\u00E1ra, Tom\u00E1\u0161" . . "6"^^ . "Kardiologick\u00E1 revue" . "5"^^ . . "Rezek, Michal" . . . "I, P(ED1.100/02/0123)" . "6"^^ . "RIV/00159816:_____/13:00060741!RIV14-MZ0-00159816" . . "autonomic dysfunction; Brugada syndrome; syncope"@en . "Synkopa multifaktori\u00E1ln\u00ED etiologie nebo n\u011Bkolik p\u0159\u00EDznak\u016F jedn\u00E9 choroby? - sout\u011B\u017En\u00ED kazuistika"@cs . . . . . . "CZ - \u010Cesk\u00E1 republika" . . "Kazuistika popisuje p\u0159\u00EDpad mlad\u00E9 \u017Eeny, kter\u00E1 byla opakovan\u011B vy\u0161et\u0159ov\u00E1na pro synkop\u00E1ln\u00ED a presynkop\u00E1ln\u00ED stavy. Prezentovala se atypick\u00FDmi p\u0159\u00EDznaky, kter\u00E9 dohromady obt\u00ED\u017En\u011B odpov\u00EDdaly jednotliv\u00FDm zn\u00E1m\u00FDm kategori\u00EDm synkop, postupn\u011B byly \u010Detn\u00FDmi diagnostick\u00FDmi metodami vylu\u010Dov\u00E1ny mo\u017En\u00E9 p\u0159\u00ED\u010Diny jej\u00EDch pot\u00ED\u017E\u00ED. Byl j\u00ED implantov\u00E1n nahr\u00E1vac\u00ED syst\u00E9m Reveal. Vzhledem k z\u00E1chytu bradykardie n\u00E1sledn\u011B implantov\u00E1n pacemaker v re\u017Eimu DDD. Onemocn\u011Bn\u00ED vyvrcholilo po 18 m\u011Bs\u00EDc\u00EDch od za\u010D\u00E1tku vy\u0161et\u0159ov\u00E1n\u00ED t\u011B\u017Ek\u00FDm stavem s opakovanou nutnost\u00ED kardiopulmon\u00E1ln\u00ED resuscitace. A\u017E pot\u00E9 byl na z\u00E1klad\u011B z\u00E1chytu komorov\u00E9 tachykardie a typick\u00E9ho EKG n\u00E1lezu diagnostikov\u00E1n Brugada syndrom a \u00FAsp\u011B\u0161n\u011B prob\u011Bhla implantace ICD. Cel\u00FD p\u0159\u00EDpad byl d\u00E1le komplikov\u00E1n pokra\u010Duj\u00EDc\u00EDmi presynkop\u00E1ln\u00EDmi stavy se sinusov\u00FDmi tachykardiemi a v\u00FDrazn\u00FDmi v\u00FDkyvy krevn\u00EDho tlaku. Toto d\u00E1le zt\u011B\u017Eovalo diferenci\u00E1ln\u00ED diagnostiku. Po vylou\u010Den\u00ED dal\u0161\u00EDch mo\u017En\u00FDch p\u0159\u00ED\u010Din byla fin\u00E1ln\u011B diagnostikov\u00E1na t\u011B\u017Ek\u00E1 autonomn\u00ED dysfunkce potencovan\u00E1 dlouhodobou hospitalizac\u00ED, kter\u00E1 je uspokojiv\u011B kontrolov\u00E1na relativn\u011B vysokou d\u00E1vkou betablok\u00E1toru."@cs .