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A. Basics
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31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
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Quality of life in reflex syncope patients: benefits of a systematic educational prevention program.
Session:
CO 11- Síncope
Speaker:
Helena Fonseca
Congress:
CPC 2021
Topic:
C. Arrhythmias and Device Therapy
Theme:
07. Syncope and Bradycardia
Subtheme:
07.5 Syncope and Bradycardia - Prevention
Session Type:
Comunicações Orais
FP Number:
---
Authors:
Helena Da Fonseca; Catarina de Oliveira; Sérgio Laranjo; Pedro Silva Cunha; Madalena Coutinho Cruz; Bruno Valente; Guilherme Portugal; Rui Cruz Ferreira; Mário Martins Oliveira
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Introduction: </span></span></strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Syncope is a common clinical condition with a major impact on patients’ quality of life (QOL). QOL measurement scales have a useful role in the management of this common situation and play an important role in its treatment. Education, lifestyle measures, adequate hydration, salt intake and counter-pressure manoeuvres are well established for the treatment of reflex syncope. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Aim: </span></span></strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Assess a 3-month evolution of a prevention educational measures program in patients (P) with recurrent reflex syncope through the application of a specific questionnaire of Impact of Syncope in Quality of Life (ISQL) in a syncope unit (US).</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Methods: </span></span></strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">ISQL was applied to all P referred to head-up tilt testing (HUT) from May to October 2020. After HUT P received an educational program to avoid syncope recurrence. Three months after HUT, a new ISQL application was done and educational measures sessions repeated. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Results: </span></span></strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">We studied 49 P (51% women, median age of 56.7 years). Syncope recurrence was noticed in 16% (n=8), with a mean recurrence of a single episode. When asked for adherence to preventive measures 96% answered “yes”. However, in the questionnaire, only 20% adopted all non-pharmacological recommendations. The median ISQL before HUT was 44,2±11,9, and 3-months after 50,53± 8,9 (p<0,05). ISQL item about “fright of fainting” has shown a decrease in 51% of the P and the “emotional confusion created by fainting” had a drop of 12%. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Conclusion: </span></span></strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"> A systematic educational program in recurrent reflex syncope appears to be effective reducing syncopal recurrence rate and improving QOL.</span></span></span></span></p> <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Keywords:</span></span></strong><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"> syncope, quality of life, educational prevention program, ISQL questionnaire</span></span></span></span></p>
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