Nonpharmacologic Treatments Alone are Enough to Prevent the Neurally Mediated Syncope: A 3 Years Follow‑up Study

International Journal of Preventive Medicine (Int J Prev Med)2008-780210520190601Nonpharmacologic Treatments Alone are Enough to Prevent the Neurally Mediated Syncope: A 3 Years Follow‑up Study20572057ENPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, IsfahanPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, IsfahanPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan20190601Background: Recurrences are common in neurally mediated syncope. The aim of this study is the evaluation of the effectiveness of nonpharmacologic treatments alone in preventing of syncope relapse. Methods: 70 patients (age 5–20 years) with neurally mediated syncope were enrolled. Thirty patients received pharmacologic therapies along with nonpharmacological methods, and 40 patients received just nonpharmacological treatments then followed them for 36 months. The incidences of different outcomes were analyzed with descriptive statistics using percentages. Results: The recurrence rate of syncope was signifcantly higher in pharmacological group than in nonpharmacological group in each period of the follow‑up (P < 0.001). Conclusions: Nonpharmacologic treatment is very effective in the prevention of syncope relapses and can be a substitute for pharmacologic drugs in the initiation of treatment and if done correctly. Keywords: Neurally mediated syncope, nonpharmacological treatment, recurrencehttp://ijpm.mui.ac.ir/index.php/ijpm/article/view/2057http://ijpm.mui.ac.ir/index.php/ijpm/article/download/2057/717717875