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Where the conversation begins. Follow for breaking news, special reports, RTs of our journalists and more. Visit http://nyti.ms/2FVHq9v  to share news tips.

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    The New York Times‏Verified account @nytimes May 7

    Matthew, 20, suffers from a medical condition that causes his heart to stop. Doctors don’t have a diagnosis. Have you heard of these symptoms? https://nyti.ms/2rsHfZV pic.twitter.com/7jGGdFDp8G

    8:33 PM - 7 May 2018
    • 68 Retweets
    • 131 Likes
    • Art Dosher Anik Ghosh Anna Velvet Jones 🐻💎🙏🏼✨♥ (((Ian O'Padrick))) NEiL HARRiSON 🙂Bill 🙃Quarks 😗 Marry
    29 replies 68 retweets 131 likes
      1. New conversation
      2. JM Cooper‏ @narrowQRS May 7
        Replying to @nytimes

        This is vasovagal syncope with prominent cardioinhibitory component. Not uncommon. Can try conservative management: Salt Hydration Acebutolol or pindolol Norpace Scopolamine patch But at this point, given the # of episodes, including injury, a pacemaker will prevent fainting.

        2 replies 3 retweets 12 likes
      3. Alexander S. Asser, MD, FHRS, FACC‏ @DrA_EP_Doc May 8
        Replying to @narrowQRS @nytimes

        I was the EP consultant mentioned in the article. Classic prodrome with each syncope. Tilt table with both cardioinhibitory and vadodepressor responses. His worst episodes occurred in the ED while getting IVs placed.

        1 reply 0 retweets 0 likes
      4. JM Cooper‏ @narrowQRS May 8
        Replying to @DrA_EP_Doc @nytimes

        If trigger avoidance + volume loading +/- medical therapy doesn't dramatically reduce syncope incidence, a pacemaker is likely benefit > risk (including long term risk). When long pauses seen, pacer usually prevents syncope, but not all symptoms. Pacer + acebutolol may work great

        1 reply 0 retweets 0 likes
      5. JM Cooper‏ @narrowQRS May 8
        Replying to @narrowQRS @DrA_EP_Doc @nytimes

        @LisaSandersmd Also it's not clear why this case is presented as a "mystery." This is one of the most common diagnoses i see in young patients who are referred for management. Yes, sometimes it takes a few treatment trials/errors to find what works. But can almost always manage.

        1 reply 0 retweets 1 like
      6. Alexander S. Asser, MD, FHRS, FACC‏ @DrA_EP_Doc May 8
        Replying to @narrowQRS @nytimes @LisaSandersmd

        Why this is a mystery case is the true mystery, I agree.

        0 replies 0 retweets 2 likes
      7. End of conversation
      1. WEEKLY WORLDLY WONDERS‏ @MWeekd May 7
        Replying to @nytimes

        Matthew I would go to Castle And Connolly Top Doctors in America and find a Great Cardiac Electrophysiologist! Look for the ones that are in the top 1% in the nation! See three or three of them!

        0 replies 1 retweet 4 likes
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      1. Raquel‏ @raquellovelee May 7
        Replying to @nytimes

        May I suggest you make these articles available to non-subscribers if you really want to crowdsource. Thx

        0 replies 0 retweets 4 likes
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      1. Grant Zastrow‏ @stache_grant May 7
        Replying to @nytimes

        I’ve seen exactly this in the ER before. Called it sinus arrest and I believe they put in a pacemaker. Couldn’t really say though because I just stabilized and transported to CVICU.

        0 replies 0 retweets 3 likes
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      1. New conversation
      2. Thoughtful Flyer‏ @thoughtfulflyer May 7
        Replying to @nytimes

        Something pyschological

        1 reply 0 retweets 2 likes
      3. lawrence‏ @writerincanada May 7
        Replying to @thoughtfulflyer @nytimes

        What?

        1 reply 0 retweets 2 likes
      4. Thoughtful Flyer‏ @thoughtfulflyer May 8
        Replying to @writerincanada @nytimes

        It is a psychological cause.

        0 replies 0 retweets 0 likes
      5. End of conversation
      1. Edward Gerwer‏ @EdwardGerwer May 7
        Replying to @nytimes

        It could either be Arrhythmogenic Right Ventricular Dysplasia or Brugada Syndrome. You'd have to get tested to find out though!

        0 replies 0 retweets 2 likes
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      1. Nan‏ @NanInKansas May 7
        Replying to @nytimes

        Possible vagal nerve issue.

        0 replies 0 retweets 2 likes
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      1. Ana Isabella‏ @me_isbella May 7
        Replying to @nytimes

        We take pride in the technological growth and medical advancement in recent day and age, but still, cases like these make us rethink the need for improvement.

        0 replies 0 retweets 2 likes
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      1. Sean Smith‏ @SeanMovietalk May 7
        Replying to @nytimes

        Yes! I had this happen to me once. My heart stopped after I had an anxiety attack. It lasted for 16 seconds. They called it a vasal vagal syncope

        0 replies 0 retweets 2 likes
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      1. Delmar O'Donnell‏ @PeteHogwallop1 May 7
        Replying to @nytimes

        pic.twitter.com/GGGMAWritx

        0 replies 0 retweets 2 likes
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      1. #OBrasilAcordou‏ @DecoDepre May 7
        Replying to @nytimes

        Bradicardia - pacemaker.

        0 replies 0 retweets 1 like
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      1. Lisa kokoyachuk‏ @karmakoko May 23
        Replying to @nytimes

        Perhaps check for vertebral or muscular misalignment in the cervical spine which might be causing pressure on the nerves that regulate the heart walls.https://youtu.be/jTaUswR10t8 

        0 replies 0 retweets 0 likes
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