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Gender Difference in Patients with Recurrent Neurally Mediated Syncope

PURPOSE: The gender difference of neurally mediated syncope is not well defined in a large patient population. The aim of this study was to evaluate the gender difference of clinical manifestations in patients with neurally mediated syncope who underwent head-up tilt test. MATERIALS AND METHODS: The...

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Autores principales: Park, Jungwae, Jang, Shin Yi, Yim, Hye Ran, On, Young Keun, Huh, June, Shin, Dae-Hee, Kim, Jun Hyung, Kim, June Soo
Formato: Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880260/
https://www.ncbi.nlm.nih.gov/pubmed/20499413
http://dx.doi.org/10.3349/ymj.2010.51.4.499
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author Park, Jungwae
Jang, Shin Yi
Yim, Hye Ran
On, Young Keun
Huh, June
Shin, Dae-Hee
Kim, Jun Hyung
Kim, June Soo
author_facet Park, Jungwae
Jang, Shin Yi
Yim, Hye Ran
On, Young Keun
Huh, June
Shin, Dae-Hee
Kim, Jun Hyung
Kim, June Soo
author_sort Park, Jungwae
collection PubMed
description PURPOSE: The gender difference of neurally mediated syncope is not well defined in a large patient population. The aim of this study was to evaluate the gender difference of clinical manifestations in patients with neurally mediated syncope who underwent head-up tilt test. MATERIALS AND METHODS: The medical records of 1,051 consecutive patients with two or more episodes of syncope, who were diagnosed as having neurally mediated syncope by head-up tilt test, were retrospectively reviewed. RESULTS: Of 1,051 patients, 497 (47.3%) patients were male and 554 (52.7%) patients were female. Female patients were experiencing syncopal episodes for longer periods of their lives (8.2 ± 9.5 years vs. 6.8 ± 9.2 years, p = 0.002) and more episodes of syncope prior to head-up tilt test (HUT) (7.2 ± 9.4 vs. 5.0 ± 6.4, p = 0.001) than male patients. Micturition syncope (20.0% vs. 5.2%, p < 0.001) was observed more frequently in male patients than in female patients. To the contrary, however, defecation syncope (16.3% vs. 9.3%, p < 0.001) was observed more frequently in female patients than in male patients. CONCLUSION: Female patients were experiencing syncopal episodes for longer periods of their lives and more episodes of syncope than male patients. Gender difference was also noted with regard to frequency of situational syncope.
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spelling pubmed-28802602010-07-01 Gender Difference in Patients with Recurrent Neurally Mediated Syncope Park, Jungwae Jang, Shin Yi Yim, Hye Ran On, Young Keun Huh, June Shin, Dae-Hee Kim, Jun Hyung Kim, June Soo Yonsei Med J Original Article PURPOSE: The gender difference of neurally mediated syncope is not well defined in a large patient population. The aim of this study was to evaluate the gender difference of clinical manifestations in patients with neurally mediated syncope who underwent head-up tilt test. MATERIALS AND METHODS: The medical records of 1,051 consecutive patients with two or more episodes of syncope, who were diagnosed as having neurally mediated syncope by head-up tilt test, were retrospectively reviewed. RESULTS: Of 1,051 patients, 497 (47.3%) patients were male and 554 (52.7%) patients were female. Female patients were experiencing syncopal episodes for longer periods of their lives (8.2 ± 9.5 years vs. 6.8 ± 9.2 years, p = 0.002) and more episodes of syncope prior to head-up tilt test (HUT) (7.2 ± 9.4 vs. 5.0 ± 6.4, p = 0.001) than male patients. Micturition syncope (20.0% vs. 5.2%, p < 0.001) was observed more frequently in male patients than in female patients. To the contrary, however, defecation syncope (16.3% vs. 9.3%, p < 0.001) was observed more frequently in female patients than in male patients. CONCLUSION: Female patients were experiencing syncopal episodes for longer periods of their lives and more episodes of syncope than male patients. Gender difference was also noted with regard to frequency of situational syncope. Yonsei University College of Medicine 2010-07-01 2010-05-27 /pmc/articles/PMC2880260/ /pubmed/20499413 http://dx.doi.org/10.3349/ymj.2010.51.4.499 Text en © Copyright: Yonsei University College of Medicine 2010 http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Park, Jungwae
Jang, Shin Yi
Yim, Hye Ran
On, Young Keun
Huh, June
Shin, Dae-Hee
Kim, Jun Hyung
Kim, June Soo
Gender Difference in Patients with Recurrent Neurally Mediated Syncope
title Gender Difference in Patients with Recurrent Neurally Mediated Syncope
title_full Gender Difference in Patients with Recurrent Neurally Mediated Syncope
title_fullStr Gender Difference in Patients with Recurrent Neurally Mediated Syncope
title_full_unstemmed Gender Difference in Patients with Recurrent Neurally Mediated Syncope
title_short Gender Difference in Patients with Recurrent Neurally Mediated Syncope
title_sort gender difference in patients with recurrent neurally mediated syncope
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880260/
https://www.ncbi.nlm.nih.gov/pubmed/20499413
http://dx.doi.org/10.3349/ymj.2010.51.4.499
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