Vasovagal syncope is associated with poor prognosis in patients with left ventricular dysfunction View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-04

AUTHORS

Yoshiaki Yamaguchi, Koichi Mizumaki, Kunihiro Nishida, Tamotsu Sakamoto, Yosuke Nakatani, Naoya Kataoka, Koichiro Kinugawa, Hiroshi Inoue

ABSTRACT

Vasovagal syncope (VVS) is known to have a benign prognosis and be associated with enhanced contraction and activation of the left ventricular (LV) mechanoreceptors. However, a little is known about VVS in patients with LV dysfunction. The present study aimed to investigate the prevalence and prognosis of VVS in patients with LV dysfunction. We enrolled 368 patients with unexplained syncope. In 7 of these patients, LV ejection fraction was lower than 40%. The results of a head-up tilt test (HUT) and the recurrence of syncope were compared between these 7 patients with LV dysfunction and the remaining patients. Positive HUT was obtained in the 6 patients (86%) with LV dysfunction; this rate tended to be higher as compared with normal cardiac function (192/361, 53%, P = 0.069). In patients with LV dysfunction, response in HUT was mostly vasodepressor type (62%); however, most of HUT responses were mixed type in patients with normal LV function (67%). Among patients with positive HUT, the recurrent rate of syncope after HUT was higher in those with LV dysfunction than in those with normal LV function (67 vs. 21%, P = 0.008). VVS in patients with LV dysfunction may be refractory to treatment and could be associated with poor prognosis. More... »

PAGES

421-426

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00380-017-1078-0

DOI

http://dx.doi.org/10.1007/s00380-017-1078-0

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https://app.dimensions.ai/details/publication/pub.1092556330

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29110073


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