Non-invasive management of vasovagal syncope
#MMPMID24996861
Coffin ST
; Raj SR
Auton Neurosci
2014[Sep]; 184
(?): 27-32
PMID24996861
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Vasovagal syncope (VVS) is a common disorder of the autonomic nervous system.
While recurrent syncope can cause very impaired quality of life, the spells are
not generally life-threatening. Both non-pharmacological and pharmacological
approaches can be used to treat patients. Conservative management with education,
exercise and physical maneuvers, and aggressive volume repletion is adequate for
controlling symptoms in most patients. Unfortunately, a minority of patients will
continue to have recurrent syncope despite conservative therapy, and they may
require medications. These could include vasopressor agents, beta-blockers, or
neurohormonal agents. Some patients may require more aggressive device based
therapy with pacemakers or radiofrequency ablation, which are emerging therapies
for VVS. This paper will review non-procedure based treatments for VVS.