TY - JOUR T1 - Physical counterpressure manoeuvres reduced vasovagal syncope JF - Evidence Based Medicine JO - Evid Based Med SP - 44 LP - 44 DO - 10.1136/ebm.12.2.44 VL - 12 IS - 2 A2 - , Y1 - 2007/04/01 UR - http://ebm.bmj.com/content/12/2/44.abstract N2 - van Dijk N, Quartieri F, Blanc JJ, et al. Effectiveness of physical counterpressure maneuvers in preventing vasovagal syncope: the Physical Counterpressure Manoeuvres Trial (PC-Trial). J Am Coll Cardiol 2006;48:1652–7.OpenUrlCrossRefPubMedWeb of Science 
 
 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 ★★★★☆☆☆ 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 … ER -