Management of vasovagal syncope - Controlling or aborting faints by leg crossing and muscle tensing
Management of vasovagal syncope - Controlling or aborting faints by leg crossing and muscle tensing
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DOI：
10.1161/01.cir.0000030939.12646.8f
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发表时间：
2002-09-24
期刊：
影响因子：
37.8
通讯作者：
Wieling, W
中科院分区：
文献类型：
--
作者：
Krediet, CTP;van Dijk, N;Wieling, W
背景-体位相关的血管迷走性晕厥是迄今为止最常见的一过性意识丧失的原因，目前的药物和心脏起搏治疗仍然不令人满意。方法和结果：21例复发性晕厥患者(年龄17~74岁，男性)接受常规倾斜试验，试验呈阳性。他们被指示在倾斜桌子引起的即将到来的晕厥开始时进行Lea交叉和肌肉紧张至少30秒。比较两组动作前后连续测得的血压和心率。测试十个月后，进行了电话随访。在21名受试者中，有20人进行了身体上的反动作，使血压和心率增加。收缩压从65+/-13升至106+/-16分汞(平均+/-SD，P
Background-Posture-related vasovagal syncope is by far the most frequent cause of transient loss of consciousness, and present pharmacological and cardiac pacing treatment remains unsatisfactory. A simple maneuver to prevent or diminish vasovagal reactions would be beneficial.Methods and Results-Twenty-one patients with recurrent syncope (age 17 to 74 years, I I males) who were referred for routine tilt-table testing and had a positive test were included. They were instructed to perform lea crossing and muscle tensing for at least 30 seconds at the onset of a tilt table-provoked impending faint. Continuously measured blood pressure and heart rate at nadir and during the maneuver were compared. Ten months after the test, a telephone follow-up was performed. The physical counter-maneuver, performed in 20 of 21 subjects, increased blood pressure and heart rate. Systolic blood pressure rose from 65+/-13 to 106+/-16 min Hg (mean+/-SD, P