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Physical counterpressure manoeuvres reduced vasovagal syncope

Clinical impact ratings GP/FP/Primary care Neurology IM/Ambulatory care Cardiology

Key Words: syncope • vasovagal • exercise movement techniques

The first 150 words of the full text of this article appear below.

METHODS
Design: randomised controlled trial (Physical Counterpressure Manoeuvres Trial).

Allocation: concealed.^*

Blinding: blinded (patients).^*

Follow up period: mean 14 months.

Setting: 15 medical centres worldwide.

Patients: 223 patients who were 16–70 years of age with recurrent vasovagal syncope (3 syncope episodes in the past 2 y or 1 syncopal spell and 3 pre-syncopal episodes in the past y) or a suspected diagnosis confirmed by tilt table testing and who had recognisable prodromal symptoms and a normal physical examination and electrocardiogram. Exclusion criteria included suspected or overt heart disease with a high likelihood of cardiac syncope; orthostatic hypotension; loss of consciousness different from syncope; the vascular steal syndrome; psychological, physical, or cognitive barriers to participation; suspected poor compliance; pregnancy; and life expectancy <1 year.

Intervention: conventional therapy (explanation of underlying mechanisms of vasovagal syncope, lifestyle modification advice, and an information leaflet) (n = 117) or conventional therapy plus training in physical . . . [Full text of this article]

Arthur T Evans, MD, MPH

Cook County Hospital and Rush Medical College
Chicago, Illinois, USA

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Other articles noted
Evid. Based Med. 2007 12: 63-64. (in ) [Extract] [Full Text] [PDF]