Micturition Syncope: A Reappraisal
Abstract
We prospectively studied 33 patients with micturition syncope. Of these, eight were young (mean age, 25 years), healthy individuals whose diagnostic evaluation gave normal findings. The remaining 25 patients were older (mean age, 60 years), and 16 were women. This group had an average of 3.8 acute and chronic illnesses per patient, and was taking 3.5 medications per patient. Physical examination disclosed orthostatic hypotension in 22 of these 25 patients. Therapy was directed at improving orthostasis. Over a mean of 15.3 months, no recurrent micturition syncope or sudden death occurred in the entire group. We conclude that there are two groups of patients with micturition syncope. A group consisting of young healthy men has been well described previously. Our larger group, however, consisted of older patients, more often women with multiple illnesses and the majority having orthostatic hypotension.
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Treatment of most types of situational syncope relies heavily on avoidance or elimination of a triggering event.
“Treatment of most types of situational syncope relies heavily on avoidance or elimination of a triggering event.”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [436]
Evidence for treatment of situational syncope is limited mainly to case reports, small case series, and small observational studies.
“Evidence for treatment is limited mainly to case reports, small case series, and small observational studies (431,433–436).”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [436]
Evidence for treatment of situational syncope is limited mainly to case reports, small case series, and small observational studies.
“Evidence for treatment is limited mainly to case reports, small case series, and small observational studies (280,282–285).”
From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary (2017) · cites this paper as [285]
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2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Heart Rhythm · doi:10.1016/j.hrthm.2017.03.004 · Cited by 484 · see citing works
2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope
Shen, W.-K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z. D., Grubb, B. P., Hamdan, M. H., Krahn, A. D., Link, M. S., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.03.003 · Cited by 327 · see citing works
Prevalence and clinical outcomes of patients with multiple potential causes of syncope
Chen, L. Y., Gersh, B. J., Hodge, D. O., Wieling, W., Hammill, S. C., & Shen, W.-K. (2003) · Mayo Clinic Proceedings · doi:10.4065/78.4.414 · Cited by 81 · see citing works
Characteristics of Syncope in Japan and the Pacific Rim
Abe, H., Kohno, R., & Oginosawa, Y. (2013) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2012.11.008 · Cited by 9 · see citing works
- Authors
- Kapoor, W. N.
- Corresponding author
- Kapoor, Wishwa N.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1985-02-08
- Volume
- 253
- Issue
- 6
- Pages
- 796
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2072047748
- Cited by
- 68
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2017: 9 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- micturition syncope, orthostatic hypotension, sudden death, older women, comorbidities, medication use
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Arrhythmias, Cardiac, Electrocardiography, Female, Humans, Hypotension, Orthostatic, Male, Middle Aged, Monitoring, Physiologic, Prospective Studies, Sex Factors, Sleep, Syncope, Time Factors, Urination
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