Recurrent syncope in long survivors and its association with geriatric syndromes

被引:2
作者
Bandhu, Kamal [1 ]
Rao, Akshata [1 ]
Nehra, Ashima [2 ]
Dwivedi, Sada Nand [3 ]
Chakrawarty, Avinash [1 ]
Dey, Aparajit Ballav [1 ,4 ,5 ]
机构
[1] All India Inst Med Sci, Dept Geriatr Med, New Delhi, India
[2] All India Inst Med Sci, Neurosci Ctr, Neuropsychol, New Delhi, India
[3] All India Inst Med Sci, Dept Biostat, New Delhi, India
[4] Venu Geriatr Care Ctr, New Delhi, India
[5] AIIMS New Delhi, Venu Geriatr Care Ctr, Dept Geriatr Med, 1-31 Inst Area,Phase 2, New Delhi 110017, India
关键词
cognitive impairment; geriatric syndrome; hearing impairment; heart disease; multimorbidity; syncope; VERSION; DEPRESSION; VALIDATION; DISEASE; PEOPLE; FALLS; TOOL;
D O I
10.1002/agm2.12240
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: Syncope is a common clinical condition in the elderly, associated with significant morbidity and risk of recurrence. Recurrent syncope causing a repeated reduction in the cerebral blood flow can predispose to progressive neurodegeneration, a decline in overall health and functionality. Hence, this study was conducted to study the common causes of recurrent syncope and its association with various geriatric syndromes.Methodology: This case-control study recruited 50 cases of recurrent syncope and 50 controls, aged 75 years and older. A detailed history and sequential evaluation for aetiologies of recurrent syncope were done. Cognition, frailty, activities of daily living, depression, and nutrition were assessed using various scales.Results: Most (80%, 80/100) of the participants were males and the mean age was 80.04 +/- 4.3 years. In the syncope group, 42% (21/50) of patients had arrhythmia, and 30% (15/30) had valvular heart disease. Recurrent syncope was significantly associated with lower scores on Montreal cognitive assessment scale (OR: 6.47 P < 0.001), four or more comorbidities (OR: 6.29 P < 0.001), and hearing impairment (OR: 6.21 P < 0.004) on multivariate logistic regression analysis.Conclusion: Recurrent syncope is significantly associated with cognitive impairment, the presence of four or more comorbidities, and hearing impairment. Conduction abnormality was the most common etiology of recurrent cardiovascular syncope. Structured evaluation and appropriate management of recurrent syncope might reduce the decline in physical, cognitive, and psychological reserve. A follow-up longitudinal study is needed to establish this.
引用
收藏
页码:49 / 55
页数:7
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