Toggle Main Menu Toggle Search

Open Access padlockePrints

Vasovagal syncope in the older person: differences in presentation between older and younger patients

Lookup NU author(s): Dr Gordon Duncan, Dr Maw Tan, Emerita Professor Julia Newton, Dr Steve Parry


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Methods: 1,060 consecutive patients with tilt-positive VVS were identified from a prospective database containing the demographic and clinical information of individuals assessed in our unit over a 10-year period. VVS was diagnosed with appropriate haemodynamic changes during HUTT and accompanying symptom reproduction. Results: we found a bimodal age distribution with a small peak at 20-29 years and a larger peak at 70-79 years. Patients aged >= 60 years were less likely to report total loss of consciousness [odds ratio (OR) 0.50, 95% confidence interval (CI) = 0.38-0.64], near loss of consciousness (OR 0.53, 95% CI = 0.40-0.70) or palpitations (OR 0.45, 95% CI = 0.28-0.72) and more likely to present with unexplained falls (OR 2.33, 95% CI = 1.36-4.32). The typical provoking factors of prolonged standing (OR 0.55, 95% CI = 0.40-0.72), posture change (OR 0.61, 95% CI = 0.46-0.82) and hot environments (OR 0.57, 95% CI = 0.42-0.78) were also less common in older patients. Conclusion: in our large study population, VVS was more common in older patients. The clinical presentation differed significantly between the two groups. Older patients were less likely to give a typical history and therefore clinicians need to have a high index of suspicion when evaluating the older patient presenting with collapse or unexplained falls.

Publication metadata

Author(s): Duncan GW, Tan MP, Newton JL, Reeve P, Parry SW

Publication type: Article

Publication status: Published

Journal: Age and Ageing

Year: 2010

Volume: 39

Issue: 4

Pages: 465-470

Print publication date: 05/05/2010

ISSN (print): 0002-0729

ISSN (electronic): 1468-2834

Publisher: Oxford University Press


DOI: 10.1093/ageing/afq039


Altmetrics provided by Altmetric