%0 Journal Article
%T Different treatments for different mechanisms in vasovagal syncope
%A Quan FANG
%A Kangan CHENG
%A Hua DENG
%A Ning WU
%A <br>Quan FANG
%A Kangan CHENG
%A Hua DENG
%A Ning WU
%J 老年心脏病学杂志(英文版)
%D 2006
%I Science Press
%X 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)
%K vasovagal syncope
%K beta-blocker
%K cardiac pacing
%K tilt table test
%K heart block<br>
%U http://www.alljournals.cn/get_abstract_url.aspx?pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=AD36F34DDC3BA7B0&jid=4DC702B3A2386A4814E2FF9CFB799B27&aid=193C92090927321E305165468DAF7B8F&yid=37904DC365DD7266&vid=38B194292C032A66&iid=CA4FD0336C81A37A&sid=1D0FA33DA02ABACD&eid=0401E2DB1F51F8DE&journal_id=1671-5411&journal_name=Journalofgeriatriccardiology:JGC&referenced_num=0&reference_num=20