학술논문

Non-invasive management of vasovagal syncope.
Document Type
Article
Source
Autonomic Neuroscience: Basic & Clinical. Sep2014, Vol. 184, p27-32. 6p.
Subject
*SYNCOPE
*AUTONOMIC nervous system diseases
*VASOCONSTRICTORS
*CARDIAC pacemakers
*ADRENERGIC beta blockers
*THERAPEUTICS
VAGUS nerve diseases
Language
ISSN
1566-0702
Abstract
Vasovagal syncope (VVS) is a common disorder of the autonomic nervous system. While recurrent syncope can cause very impaired quality of life, the spells are not generally life-threatening. Both non-pharmacological and pharmacological approaches can be used to treat patients. Conservative management with education, exercise and physical maneuvers, and aggressive volume repletion is adequate for controlling symptoms in most patients. Unfortunately, a minority of patients will continue to have recurrent syncope despite conservative therapy, and they may require medications. These could include vasopressor agents, beta-blockers, or neurohormonal agents. Some patients may require more aggressive device based therapy with pacemakers or radiofrequency ablation, which are emerging therapies for VVS. This paper will review non-procedure based treatments for VVS. [ABSTRACT FROM AUTHOR]