title: Treatment of vasovagal syncope: pacemaker or crossing legs?
abstract: A 50-year-old male patient continued to experience syncope after implantation of a pacemaker. During cardiovascular examination, the patient showed a typical vasovagal response, with normal pacemaker function. Leg crossing, which prohibits the pooling of blood in the legs and abdomen, at the onset of symptoms helped to prevent this response. The authors recommend a course of leg crossing as a measure to treat vasovagal syncope.
authors.affiliation: Department of Medicine, Academic Medical Centre, Amsterdam, The Netherlands.
authors.forename: N
authors.initials: N
authors.lastname: van Dijk
authors.forename: M P
authors.initials: MP
authors.lastname: Harms
authors.forename: M
authors.initials: M
authors.lastname: Linzer
authors.forename: W
authors.initials: W
authors.lastname: Wieling
mesh_terms: D000005:Abdomen / Q000098:blood supply; D001281:Atrial Fibrillation / Q000628:therapy*; D001794:Blood Pressure; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects; D011187:Posture; D019462:Syncope, Vasovagal / Q000503:physiopathology / Q000628:therapy*