Different treatments for different mechanisms in vasovagal syncope  

作　　者：Quan FANG Kangan CHENG Hua DENG Ning WU 

机构地区：[1]Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

出　　处：《Journal of Geriatric Cardiology》2006年第1期61-64,共4页老年心脏病学杂志（英文版）

摘　　要：The treatment of vasovagal syncope has been by far unsatisfactory. Beta-blockers may prevent vasovagal syncope, but they exacerbates heart asystole. Cardiac pacing prevents syncope but notpresyncope. The frequent, serious vasovagal syncope attacks of a 63- year-old woman patient were completely prevented by administration of 100 mg metoprolol (b.i.d) for 3 months until the patient experienced a complete heart block. A DDD pacemaker implantation abolished syncope but not the presyncope, which was eventually prevented in a follow-up period of 24 months by adding 75 mg atenalol twice a day. This case suggests a different mechanism involved in vasovagal syncope.The treatment of vasovagal syncope has been by far unsatisfactory. Beta-blockers may prevent vasovagal syncope, but they exacerbates heart asystole. Cardiac pacing prevents syncope but notpresyncope. The frequent, serious vasovagal syncope attacks of a 63- year-old woman patient were completely prevented by administration of 100 mg metoprolol (b.i.d) for 3 months until the patient experienced a complete heart block. A DDD pacemaker implantation abolished syncope but not the presyncope, which was eventually prevented in a follow-up period of 24 months by adding 75 mg atenalol twice a day. This case suggests a different mechanism involved in vasovagal syncope. (J Geriatr Cardiol; 2006; 3(1):61-64)

关 键 词：VASOVAGAL SYNCOPE BETA-BLOCKER cardiac PACING TILT table test heart block 

分 类 号：R[医药卫生]