(FIT)-Module 4 Workshop 7: Electrocradiogrpahic and Electrophysiological Correlations, Atrial Fibrillation, Clinical Scenarios and Syndromes-Poole Case 6 Answer

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Video Summary

The patient has vasovagal syncope with prolonged cardio-inhibitory pause, commonly seen in this condition. Initial management should focus on risk factor modification through education, such as gradually rising from a prone position and recognizing premonitory symptoms. Staying hydrated and using compression stockings are advised, while medications like midodrine may help some patients. A pacemaker is generally avoided, except in certain severe cases. Tilt table tests often provide limited additional information beyond patient history. The 2017 guidelines recommend education and specific therapies depending on symptom severity, with pacemaker use considered only for significant, recurrent syncope causing harm.

Keywords

vasovagal syncope

cardio-inhibitory pause

risk factor modification

midodrine

pacemaker indication