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Recurrent syncope during migraine attacks

2024Artigo científico Acesso aberto
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dc.contributor.authorDias Da Costa, Mariana
dc.contributor.authorNunes Vicente, Beatriz
dc.contributor.authorDourado Sotero, Filipa
dc.contributor.authorMartins, Isabel Pavão
dc.date.accessioned2025-03-06T15:47:59Z
dc.date.available2025-03-06T15:47:59Z
dc.date.issued2024
dc.description© Copyright (c) 2024 Acta Médica Portuguesa. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.pt_PT
dc.description.abstractMigraine is a cyclic condition with attacks consisting mainly of intense headaches, sensory intolerance, and nausea or vomiting. Loss of consciousness during attacks is often attributed exclusively to a neurally mediated reflex to pain, although it may also be due to migraine's autonomic impairment, with cardiac conduction abnormalities, probably in relation to a degree of reduced sympathetic function. We report the case of a 51-year-old woman presenting episodes of syncope exclusively after vomiting during migraine attacks. A 24-hour Holter monitoring performed during a migraine attack disclosed an intermittent complete atrioventricular block coincident with an episode of syncope. The patient was implanted with a pacemaker without further syncopes on subsequent attacks. This case highlights the importance of clinical suspicion and investigation of syncope during migraine attacks. Recurrent syncope during migraine should not be attributed to pain to avoid misdiagnosis and ensure the treatment of other important causes of syncope.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port. 2025 Mar 3;38(3):182-184pt_PT
dc.identifier.doi10.20344/amp.22134pt_PT
dc.identifier.eissn1646-0758
dc.identifier.issn0870-399X
dc.identifier.urihttp://hdl.handle.net/10400.5/99051
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOrdem dos Médicospt_PT
dc.relation.publisherversionhttps://actamedicaportuguesa.com/revista/index.php/amp/indexpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectAtrioventricular blockpt_PT
dc.subjectMigraine disorderspt_PT
dc.subjectComplicationspt_PT
dc.subjectSyncopept_PT
dc.titleRecurrent syncope during migraine attackspt_PT
dc.title.alternativeSíncopes recorrentes durante crises de enxaquecapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage184pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage182pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume38pt_PT
person.familyNameDias da Costa
person.familyNameNunes Vicente
person.familyNameDourado Sotero
person.familyNamePavão Martins
person.givenNameMariana
person.givenNameBeatriz
person.givenNameFilipa
person.givenNameIsabel
person.identifier18561
person.identifier.ciencia-id4D1D-4040-BE76
person.identifier.orcid0000-0002-9871-2799
person.identifier.orcid0000-0001-5681-8491
person.identifier.orcid0000-0002-5700-8834
person.identifier.orcid0000-0002-9611-7400
person.identifier.scopus-author-id7103152782
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9977a7ce-bda4-4e31-b036-6b1ad1ed9a55
relation.isAuthorOfPublicationc5a175d3-3944-4a1f-8767-6f2805832257
relation.isAuthorOfPublication5ce7037a-8dbe-493e-8805-0157b35f29b4
relation.isAuthorOfPublicationd134f8f9-be2a-4990-b8ec-3159ff3c51f2
relation.isAuthorOfPublication.latestForDiscoveryc5a175d3-3944-4a1f-8767-6f2805832257

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