Management strategies for recurrent vasovagal syncope

التفاصيل البيبلوغرافية
العنوان: Management strategies for recurrent vasovagal syncope
المؤلفون: G, Vaddadi, S J, Corcoran, M, Esler
المصدر: Internal medicine journal. 40(8)
سنة النشر: 2010
مصطلحات موضوعية: Patient Education as Topic, Fludrocortisone, Secondary Prevention, Syncope, Vasovagal, Animals, Disease Management, Humans, Selective Serotonin Reuptake Inhibitors
الوصف: Vasovagal syncope (VVS) is the commonest cause of recurrent syncope and has a high level of morbidity in both young and elderly patients. Diagnosis and treatment are often unsatisfactory despite the fact that syncope has a lifetime cumulative incidence of 35%. A detailed history can often yield an accurate diagnosis in most young patients. Older patients are more likely to present in an atypical manner and although the yield is low, a more comprehensive diagnostic assessment may be needed. It is important to identify patients with low supine systolic blood pressure who are prone to recurrent VVS. These patients represent a distinct subtype of VVS and may respond to a tailored therapeutic approach. Treatment options for VVS are limited because of a paucity of randomized trials. The backbone of therapy is educating the patient, avoiding precipitating factors, maintaining hydration and the application of physical counter-pressure manoeuvres. Drug therapy is rarely warranted; however, fludrocortisone, alpha-agonists, such as midodrine and dihydroergotamine, and selective serotonin reuptake inhibitors may be helpful in some patients. Permanent cardiac pacing is rarely needed and randomized trials do not support its use.
تدمد: 1445-5994
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid________::d4d40eb0b38f085a36b6ce8252f123ce
https://pubmed.ncbi.nlm.nih.gov/20718882
رقم الانضمام: edsair.pmid..........d4d40eb0b38f085a36b6ce8252f123ce
قاعدة البيانات: OpenAIRE