Síncope único o muy poco frecuente en 104 casos

Pedro Jiménez-Cohl, Mauricio Ortega G., Diego Labrín E., Mirena Bruna V., Romyna Zumaran I., Miguel Núñez M.
2018 Revista chilena de neuro-psiquiatría  
It is frequent meeting people sent to perform a tilt test suffering from a single or such isolated syncope that occur very occasionally during the patient's life. We ask ourselves how these people differ from those who never have syncopes. Methods: We performed tilt test in 104 patients who suffer a single or maximum 5 syncopes from any cause during their lifetimes. We try to explain how different predisposing factors act to provoke syncope. Results: We found differences between cases and
more » ... ls in inheritance of syncopes, joint hypermobility, venous pooling during tilt test, food intake, use of drugs, stress and emotion as a trigger for syncope. Conclusions: Patients with single or occasional syncope have an organic predisposition (inheritance -joint hypermobility -failure in the baroreflexes, some neurological diseases, etc.) to present syncopes, but syncopes do not occur unless it is added simultaneously an environmental factor, which acts as a trigger (prolonged standing up -stress, pain and emotion -dehydration -drugs -abundant food, etc.) that is why these episodes are so rare. Los autores no presentan ningún tipo de conflicto de interés. Ayuda financiera: No la hubo.
doi:10.4067/s0717-92272018000400251 fatcat:pjq4f467hnbw7ad3u3xi4oxmxy