Syncope pp 329-338 | Cite as

How to: Physical Maneuvers for Reflex and Orthostatic Syncope

  • Michele Brignole
  • David G. Benditt


Non-pharmacological “physical” treatments (physical maneuvers) are emerging as a new front-line treatment of orthostatic intolerance syndromes (reflex syncope and orthostatic hypotension), instead of or in addition to other therapies.


Orthostatic Hypotension Compression Stocking Orthostatic Intolerance Abdominal Binder Elastic Compression Stocking 
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    van Dijk N, et al. Effectiveness of physical counterpressure maneuvers in preventing vasovagal syncope: the Physical Counterpressure Manoeuvres Trial (PC-Trial). J Am Coll Cardiol. 2006;48:1652–1657.PubMedCrossRefGoogle Scholar
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    Brignole M, et al. Isometric arm counter-pressure maneuvers to abort impending vasovagal syncope. J Am Coll Cardiol. 2002;40:2054–2060.CrossRefGoogle Scholar
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    Foglia-Manzillo G, et al. Efficacy of tilt training in the treatment of neurally mediated syncope. A randomized study. Europace. 2004;6:199–204.PubMedCrossRefGoogle Scholar
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    Podoleanu C, et al. Lower limb and abdominal compression bandages prevent progressive orthostatic hypotension in the elderly. A randomized placebo-controlled study. J Am Coll Cardiol. 2006;48:1425–1432.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Dipartimento di Cardiologia, Centro AritmologicoOspedali del TigullioLavagnaItaly
  2. 2.Cardiac Arrhythmia CenterMedical School, University of MinnesotaMinneapolisUSA

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