Vasovagal Syncope in the Elderly

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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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Usefulness of the Calgary Syncope Symptom Score for the diagnosis of vasovagal syncope in the elderly.

AIMS The Calgary Syncope Symptom Score (CSSS) has been validated as a simple point score of historical features with high sensitivity and specificity for the diagnosis of vasovagal syncope (VVS) in younger populations without evidence of structural heart disease. Our purpose was to evaluate the performance of the CSSS in an elderly population with suspected VVS. METHODS AND RESULTS Hundred an...

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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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Recurrent Postural Vasovagal Syncope

Background—The pathophysiology of vasovagal syncope is poorly understood, and the treatment usually ineffective. Our clinical experience is that patients with vasovagal syncope fall into 2 groups, based on their supine systolic blood pressure, which is either normal ( 100 mm Hg) or low (70–100 mm Hg). We investigated neural circulatory control in these 2 phenotypes. Methods and Results—Sympathe...

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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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ژورنال

عنوان ژورنال: Age and Ageing

سال: 1998

ISSN: 0002-0729,1468-2834

DOI: 10.1093/ageing/27.suppl_2.23-b