Quan FANG, Kangan CHENG, Hua DENG, Ning WU. Different treatments for different mechanisms in vasovagal syncope[J]. Journal of Geriatric Cardiology, 2006, 3(1): 61-64.
Citation: Quan FANG, Kangan CHENG, Hua DENG, Ning WU. Different treatments for different mechanisms in vasovagal syncope[J]. Journal of Geriatric Cardiology, 2006, 3(1): 61-64.

Different treatments for different mechanisms 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 ODD 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 mecha-nism involved in vasovagal syncope.
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