Treatment of vasovagal syncope: pacemaker or crossing legs?
- 61 Downloads
A 50-year-old male patient continued to experience syncope after implantation of a pacemaker. During cardiovascular examination, the patient showed a typical vasovagal response, with normal pacemaker function. Leg crossing, which prohibits the pooling of blood in the legs and abdomen, at the onset of symptoms helped to prevent this response. The authors recommend a course of leg crossing as a measure to treat vasovagal syncope.
Key wordsvasovagal syncope leg corssing pacemaker
Unable to display preview. Download preview PDF.
- 2.Wieling W, Karemaker JM. Non-invasive continuous recording of heart-rate and blood pressure in the evaluation of neurovascular control. In:Autonomic failure. A textbook of clinical disorders of the autonomic nervous system, 4th ed. Mathias CJ, Bannister R, eds. New York: Oxford University; 1999. pp. 197–210.Google Scholar
- 3.Hainsworth R. Syncope and tainting: classification and pathophysiological basis. In:Autonomic failure. A textbook of clinical disorders of the autonomic nervous system, 4th ed. Methias CJ, Bannister R, eds. New York: Oxford University; 1999. pp. 428–436.Google Scholar
- 7.Lewis T. Vasovagal syncope and the carotid sinus mechanism with comments on Gower's and Nothnagel's syndrome.Br Med J 1932; i:873–876.Google Scholar
- 8.Sra JS, Jazayeri MR, Avitall B,et al. Comparison of cardiac pacing with drug therapy in the treatment of neurocardiogenic (vasovagal) syncope with bradycardia or asystole.N Engl J Med 328; 15:1085–1090.Google Scholar