الإغماء المبهمي المتوتر لدى المرضى فوق 40 عامًا مع توقفات قلبية موثقة

References

• Cardiac pacing should be considered to reduce syncopal recurrences in patients aged >40 years, with spontaneous documented symptomatic asystolic pause(s) >3 s or asymptomatic pause(s) >6 s due to sinus arrest, AV block, or the combination of the two.
• Cardiac pacing should be considered to reduce syncope recurrence in patients with cardioinhibitory carotid sinus syndrome who are >40 years with recurrent frequent unpredictable syncope.
• Cardiac pacing may be considered to reduce syncope recurrences in patients with tilt-induced asystolic response who are >40 years with recurrent frequent unpredictable syncope.
• Cardiac pacing may be considered to reduce syncope recurrences in patients with the clinical features of adenosine-sensitive syncope.
• Explanation of the diagnosis, the provision of reassurance, and explanation of the risk of recurrence and the avoidance of triggers and situations are indicated in all patients.
• Increased intake of oral fluids is also advised.
• Salt supplementation at a dose of 120 mmol/day of sodium chloride has been proposed.