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Physical counterpressure manoeuvres reduced vasovagal syncope

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 Q In patients with vasovagal syncope, does training in physical counterpressure manoeuvres reduce recurrent syncope?

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

METHODS

Embedded ImageDesign:

randomised controlled trial (Physical Counterpressure Manoeuvres Trial).

Embedded ImageAllocation:

concealed.*

Embedded ImageBlinding:

blinded (patients).*

Embedded ImageFollow up period:

mean 14 months.

Embedded ImageSetting:

15 medical centres worldwide.

Embedded ImagePatients:

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 …

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