Clinical Autonomic Research

, Volume 10, Issue 6, pp 347–349 | Cite as

Treatment of vasovagal syncope: pacemaker or crossing legs?

  • Nynke van Dijk
  • Mark P. Harms
  • Mark Linzer
  • Wouter WielingEmail author
Case Report


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 words

vasovagal syncope leg corssing pacemaker 


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Copyright information

© Lippincott Williams & Wilkins 2000

Authors and Affiliations

  • Nynke van Dijk
    • 3
  • Mark P. Harms
    • 3
  • Mark Linzer
    • 1
    • 2
  • Wouter Wieling
    • 3
    Email author
  1. 1.Department of MedicineUniversity of WisconsinMadisonUSA
  2. 2.Departments of Medical Psychology and MedicineAcademic Medical Centre/University of AmsterdamAmsterdamThe Netherlands
  3. 3.Department of Internal MedicineAcademic Medical CentreAmsterdamThe Netherlands

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