CoChat
Sign Up
Cited by 102Cardiovascular Syncope and Autonomic DisordersHeart Rate Variability and Autonomic ControlVestibular and auditory disorders

Nonpharmacological treatment of reflex syncope

Wieling, Wouter, Colman, Nancy, Krediet, C. T. Paul, Freeman, Roy·2004·Clinical Autonomic Research
DOI 10.1007/s10286-004-1009-x
Open this paper in CoChat — free account

Abstract

Reflex syncope is a common medical problem. Vasovagal reflex syncope is the most frequent form. Although the prognosis of the disorder is excellent, it may impose substantial changes in life style and cause profound psychological distress. Thus, management of this disorder is an important issue. This chapter, based on a review of the literature and the authors' clinical experience, encompasses the non-pharmacological measures used in the management of reflex syncope. The cornerstone of the non-pharmacological management of patients with reflex syncope is education and reassurance regarding the benign nature of the condition. Patients should be instructed to avoid potential triggers. A tilt table test can be employed to teach the patient to recognize early premonitory symptoms. There are several physical maneuvers (e. g., leg crossing, muscle tensing and squatting) that are effective in combating orthostatic intolerance. For the majority of patients this approach is adequate. Patients with frequent attacks of reflex syncope are advised to increase their dietary salt intake. Exercise training also increases orthostatic tolerance. In highly motivated patients with recurrent syncope, raising the head of the bed to permit gravitational exposure during sleep and prolonged periods of enforced maintenance of the upright posture (tilt-training) can be considered. Preliminary data suggest that water drinking may improve orthostatic tolerance. Abdominal belts may also be effective in hi…

Integrity signals

Registry

Crossref · 10.1007/s10286-004-1009-x

Cites

9 of 9 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Physical maneuvers such as leg crossing, muscle tensing, and squatting have been shown to be effective in postponing and in some subjects preventing vasovagal syncope if used at the onset of prodromal symptoms.

    “Physical maneuvers such as leg crossing, muscle tensing, and squatting have been shown to be effective in postponing and in some subjects preventing vasovagal syncope if used at the onset of prodromal symptoms (102,103).”

    From Postural Orthostatic Tachycardia Syndrome (2019) · cites this paper as [102]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Wieling, W., Colman, N., Krediet, C. T. P., & Freeman, R.
Affiliations
  • Amsterdam UMC Location University of Amsterdam (NL)
  • Beth Israel Deaconess Medical Center (US)
Corresponding author
Wieling, Wouter
ORCID
Venue
Clinical Autonomic Research
Publisher
Springer Science and Business Media LLC
Published
2004-10
Volume
14
Issue
S1
Pages
i62-i70
ISSN
  • 0959-9851 (ISSN-L)
  • 1619-1560
DOI
10.1007/s10286-004-1009-x
OpenAlex
W1964321909
Cited by
102
References
9
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 4 · 2019: 5 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 12 · 2013: 11 · 2012: 6
FWCI
1.18
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Clinical Autonomic Research (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
Keywords
reflex syncope, vasovagal syncope, non-pharmacological treatment, orthostatic intolerance, tilt table test, premonitory symptoms, orthostatic tolerance, salt intake, exercise training, tilt training, water drinking, abdominal belt, patient education, trigger avoidance
MeSH terms
Abdomen, Blood Pressure, Constriction, Counseling, Diet, Sodium-Restricted, Drinking, Humans, Posture, Sleep, Syncope, Vasovagal

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review