Article Text

Download PDFPDF
Physical counterpressure manoeuvres reduced vasovagal syncope

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 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 ★★★★☆☆☆


Embedded ImageDesign:

randomised controlled trial (Physical Counterpressure Manoeuvres Trial).

Embedded ImageAllocation:


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 …

View Full Text


  • * See glossary.

  • For correspondence: Dr N van Dijk, Academic Medical Center, Amsterdam, The Netherlands. n.vandijk{at}

  • Source of funding: Netherlands Heart Foundation.

Linked Articles

  • Other articles noted
    BMJ Publishing Group Ltd
  • Glossary
    BMJ Publishing Group Ltd