EFFICACY OF PINDOLOL FOR TREATMENT OF VASOVAGAL SYNCOPE

被引:25
作者
COHEN, MB [1 ]
SNOW, JS [1 ]
GRASSO, V [1 ]
LEHNERT, L [1 ]
GOLDNER, BG [1 ]
JADONATH, RL [1 ]
COHEN, TJ [1 ]
机构
[1] N SHORE UNIV HOSP,CORNELL UNIV MED COLL,DEPT MED,DIV CARDIOL,ELECTROPHYSIOL SECT,MANHASSET,NY 11030
关键词
D O I
10.1016/0002-8703(95)90078-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The purpose of this study was to evaluate the efficacy, safety, and tolerance of pindolol as initial therapy for vasovagal syncope. Head-up tilt table testing (HUT) was performed on 192 patients for syncope or near-syncope of unknown cause. Forty-four (23%) patients had a positive HUT for vasovagal syncope, and 28 (64%) received oral pindolol as initial therapy. Three patients were lost to follow-up; of the remaining 25 patients (mean age 60 +/- 22 years), 15 were women, 14 had syncope, and 11 had near-syncope. At 14 +/- 6 months' follow-up, 16 (64%) patients were without recurrence or side effects from pindolol. Of the 9 patients who stopped taking pindolol, 3 were switched to another regimen for recurrent symptoms, 2 stopped because of side effects, and 4 did not comply with the regimen. In conclusion, pindolol appears to be safe and effective as initial treatment for vasovagal syncope.
引用
收藏
页码:786 / 790
页数:5
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