Meta-analysis of nonselective versus beta-1 adrenoceptor-selective blockade in prevention of tilt-induced neurocardiogenic syncope

被引:26
作者
Dendi, R
Goldstein, DS
机构
[1] Univ Iowa Hosp & Clin, Iowa City, IA 52242 USA
[2] NINCDS, Clin Neurocardiol Sect, NIH, Bethesda, MD 20892 USA
关键词
D O I
10.1016/S0002-9149(02)02338-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Beta-adrenoceptor blockers are frequently used to treat patients predisposed to neurocardiogenic syncope. Beta-2 adrenoceptor-mediated skeletal vasodilation might contribute to neurocardiogenic syncope, and consistent with this notion, meta-analysis of published reports indicates that nonselective beta blockers are more effective than beta-1-selective blockers in preventing tilt-induced syncope.
引用
收藏
页码:1319 / +
页数:4
相关论文
共 32 条
[1]   EFFECTS OF BETA-ADRENERGIC-BLOCKADE ON VASODEPRESSOR REACTION IN PATIENTS WITH VASODEPRESSOR SYNCOPE [J].
ABE, H ;
KOBAYASHI, H ;
NAKASHIMA, Y ;
IZUMI, F ;
KUROIWA, A .
AMERICAN HEART JOURNAL, 1994, 128 (05) :911-918
[2]   Permanent cardiac pacing versus medical treatment for the prevention of recurrent vasovagal syncope - A multicenter, randomized, controlled trial [J].
Ammirati, F ;
Colivicchi, F ;
Santini, M .
CIRCULATION, 2001, 104 (01) :52-57
[3]   POSTEXERCISE SYNCOPE - EVIDENCE FOR INCREASED ACTIVITY OF THE SYMPATHETIC NERVOUS-SYSTEM [J].
ARAD, M ;
SOLOMON, A ;
ROTH, A ;
ATSMON, J ;
RABINOWITZ, B .
CARDIOLOGY, 1993, 83 (1-2) :121-123
[4]   ON THE VASODILATATION IN HUMAN SKELETAL MUSCLE DURING POST-HAEMORRHAGIC FAINTING [J].
BARCROFT, H ;
EDHOLM, OG .
JOURNAL OF PHYSIOLOGY-LONDON, 1945, 104 (02) :161-175
[5]   Malignant vasovagal syncope: A randomised trial of metoprolol and clonidine [J].
Biffi, M ;
Boriani, G ;
Sabbatani, P ;
Bronzetti, G ;
Frabetti, L ;
Zannoli, R ;
Branzi, A ;
Magnani, B .
HEART, 1997, 77 (03) :268-272
[6]   A CONTROLLED TRIAL OF ACUTE AND LONG-TERM MEDICAL THERAPY IN TILT-INDUCED NEURALLY MEDIATED SYNCOPE [J].
BRIGNOLE, M ;
MENOZZI, C ;
GIANFRANCHI, L ;
LOLLI, G ;
BOTTONI, N ;
ODDONE, D .
AMERICAN JOURNAL OF CARDIOLOGY, 1992, 70 (03) :339-342
[7]   ACUTE AND LONG-TERM BETA-ADRENERGIC-BLOCKADE FOR PATIENTS WITH NEUROCARDIOGENIC SYNCOPE [J].
COX, MM ;
PERLMAN, BA ;
MAYOR, MR ;
SILBERSTEIN, TA ;
LEVIN, E ;
PRINGLE, L ;
CASTELLANOS, A ;
MYERBURG, RJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1995, 26 (05) :1293-1298
[8]  
Di Girolamo E, 1998, Cardiologia, V43, P833
[9]   FAINTING PRECIPITATED BY COLLAPSE-FIRING OF VENOUS BARORECEPTORS [J].
DICKINSON, CJ .
LANCET, 1993, 342 (8877) :970-972
[10]   Sympathetic withdrawal and forearm vasodilation during vasovagal syncope in humans [J].
Dietz, NM ;
Halliwill, JR ;
Spielmann, JM ;
Lawler, LA ;
Papouchado, BG ;
Eickhoff, TJ ;
Joyner, MJ .
JOURNAL OF APPLIED PHYSIOLOGY, 1997, 82 (06) :1785-1793