Does pacing help in vasovagal syncope?

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Pacing for Vasovagal Syncope

Introduction Vasovagal syncope is a common condition, usually associated with a benign prognosis. Most sufferers experience only occasional symptoms, and can be treated with reassurance and lifestyle advice. However, a minority of patients are debilitated by frequent fainting that can infringe on daily living, or even mimic sudden death. This has been termed "malignant" vasovagal syncope becaus...

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Simple self-help maneuvers are effective in aborting vasovagal syncope.

Aborting Vasovagal Syncope To the Editor: The recent article by Lu et al1 reminded us of the frequency of vasovagal syncope (neurally mediated syncope) in the general population—22%. Although effective therapy, both pharmacologically and with a pacemaker, is now available,2 prevention is still the best recourse. Because vasovagal syncope is preceded by prodromal symptoms in two thirds of cases,...

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Vasovagal syncope and vasovagal disease.

(Hellenic Journal of Cardiology) HJC ñ 61 I solated vasovagal syncope (VVS) is not a disease, but rather the clinical manifestation of an autonomic reflex to which all (or almost all) individuals are predisposed. Why certain subjects appear to be more susceptible than others to the development of paradoxical hypotension and bradycardia, and why the event occurs at one time and not another, rema...

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A randomized, double-blind, placebo-controlled study of permanent cardiac pacing for the treatment of recurrent tilt-induced vasovagal syncope. The vasovagal syncope and pacing trial (SYNPACE).

AIMS Recently, some studies revealed the efficacy of pacemaker implantation in decreasing recurrences in patients with vasovagal syncope. As these studies were not blinded or placebo-controlled, the benefits observed might have been due to a bias in the assessment of outcomes or to a placebo effect of the pacemaker. We performed a randomized, double-blind, placebo-controlled study in order to a...

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Vasovagal syncope interrupting sleep?

Clinical data are reported for 13 patients who were referred with recurrent loss of consciousness at night interrupting their sleep. Most of the patients were women (10 of 13) with a mean age of 45 years (range 21-72 years). The histories were more consistent with vasovagal syncope than with epilepsy. This was supported by electroencephalographic and tilt test results. More polysomnographic mon...

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ژورنال

عنوان ژورنال: Heart

سال: 1994

ISSN: 1355-6037

DOI: 10.1136/hrt.71.4.385