Short-term evolution of vasovagal syncope: Influence on the quality of life

Barón-Esquivias, Gonzalo; Gómez, Sílvia; Aguilera, Almudena; Campos, Ana; Romero, Nieves; Cayuela, Aurelio; Valle, Juan Ignacio Soto; Redondo, M.D.; Pedrote, Alonso; Burgos, José; Martı́nez, Ángel; Errázquin, Francisco

doi:10.1016/j.ijcard.2004.10.019

Cited by 38 publications

(33 citation statements)

References 15 publications

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“…QoL is reduced with recurrent syncope, [725][726][727][728][729][730][731][732][733] as demonstrated in studies that compared patients with and without syncope. 727,731 QoL associated with recurrent syncope was equivalent to severe rheumatoid arthritis and chronic low-back pain in an adult population.…”

Section: Impact Of Syncope On Quality Of Lifementioning

confidence: 90%

“…732 Those with more frequent syncope have reported poorer QoL. 726,729,730,732 There is consistent evidence that syncope is associated with worse function on multiple domains of QoL, such as perceptions of low overall physical health 725,730,734 ; perception of mental health, including increased fear, somatization, depression, and anxiety 725,727,728,731,734 ; and impairment in activities of daily living, such as driving, working, and attending school.…”

Section: Impact Of Syncope On Quality Of Lifementioning

confidence: 99%

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2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Sheldon²,

et al. 2017

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Section: Impact Of Syncope On Quality Of Lifementioning

confidence: 90%

Section: Impact Of Syncope On Quality Of Lifementioning

confidence: 99%

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Sheldon²,

et al. 2017

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“…9,11 In previous studies, QoL has been evaluated only once after treatment initiation, in combined groups of patients with various diagnoses and treatments. 10,12,13,27 In contrast, we prospectively evaluated QoL at consecutive time points during follow-up in a more homogeneous group of patients. We found that both the Physical Component Summary of the SF-36 questionnaire and the SDS significantly improved during treatment including physical counterpressure manoeuvres.…”

Section: Discussionmentioning

confidence: 99%

Prospective evaluation of non-pharmacological treatment in vasovagal syncope

et al. 2010

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AimsInitial treatment of vasovagal syncope (VVS) consists of assuring an adequate fluid and salt intake, regular exercise and application of physical counterpressure manoeuvres. We examined the effects of this non-pharmacological treatment in patients with frequent recurrences. Methods and resultsOne hundred patients with 3 episodes of VVS in the 2 years prior to the start of the study openly received nonpharmacological treatment. We evaluated this treatment both with respect to syncopal recurrences, factors associated with recurrence, and quality of life (QoL). The median number of syncopal recurrences was lower in the first year of non-pharmacological treatment compared with the last year before treatment (median 0 vs. 3; P , 0.001), but 49% of patients experienced at least one recurrence. In multivariable analysis, a higher syncope burden prior to inclusion was significantly associated with syncopal recurrence. Disease-specific QoL improved over time, with larger improvements for patients with more reduction in syncope burden. ConclusionIn patients with frequent recurrences of VVS, non-pharmacological treatment has a beneficial effect on both syncopal recurrence and QoL, but nearly half of these patients still experience episodes of syncope.--

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“…In general, these disorders have a benign prognosis, but up to one third of patients present physical injury related to falls. Thus, dysautonomic syndromes have a great impact on quality of life [3]. Lack of a robust diagnosis of the mechanisms involved and presence of frequent recurrences can create psychosocial effects including anxiety, panic, and depression.…”

Section: Introductionmentioning

confidence: 99%