The slow-flat-slow sequence in malignant vasovagal syncope

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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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Malignant Vasovagal Syncope: Physiopathology, Diagnosis, Epidemiology, and Medical Treatment

The encouraging results from the "Inotropy Controlled Pacing in Vasovagal Syncope" (INVASY) Italian multicenter clinical trial – which demonstrated the effectiveness of pacing based on Closed Loop Stimulation (CLS, Biotronik, Germany) in preventing vasovagal syncope (VVS) [1,2] – provided us incentive to prepare a review entitled "Malignant Vasovagal Syncope." The review provides an updated rev...

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Recurrent syncope: a slow heart rate?

A 70-year-old female patient was admitted to the geriatrics department with an overall deterioration, including lethargy, and with recurrent syncope. She had no palpitations or chest pain or other symptoms preceding the syncopal episodes. She is known with a history of an anterior myocardial infarction more than 20 years ago and psychotic depression. Her current medication consisted of lithium ...

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Malignant vasovagal syncope: a randomised trial of metoprolol and clonidine.

OBJECTIVE To evaluate the efficacy of head up tilt guided treatment with metoprolol and clonidine in preventing the recurrence of syncope in patients with malignant vasovagal syncope. PATIENTS 20 patients (9 men and 11 women, mean age 33 (SD 17), range 14 to 62 years) with severe symptoms. DESIGN Randomised double blind crossover trial; efficacy was assessed by head up tilt testing. RESUL...

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Vasovagal syncope interrupting sleep?

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ژورنال

عنوان ژورنال: Annals of Pediatric Cardiology

سال: 2021

ISSN: 0974-2069

DOI: 10.4103/apc.apc_105_20