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0 Topics
A. Basics
B. Imaging
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D. Heart Failure
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01. History of Cardiology
02. Clinical Skills
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04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
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26. Cardiovascular Surgery
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28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
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34. Public Health and Health Economics
35. Research Methodology
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Impact of a Syncope Educational Prevention Program: a first-year experience
Session:
Posters (Sessão 2 - Écran 7) - Enfermagem e Técnicos
Speaker:
Helena Fonseca
Congress:
CPC 2022
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
07.5 Syncope and Bradycardia - Prevention
Session Type:
Pósters Electrónicos
FP Number:
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Authors:
Helena da Fonseca; Rita Contins; Catarina de Oliveira; Sérgio Laranjo; Ana Lousinha; Pedro Silva e Cunha; Mário Oliveira
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="color:#222222"><span style="background-color:#ffffff"><span style="font-family:Calibri,sans-serif">Reflex syncope (RS) is a common clinical condition with major impact on patients’ quality of life (QOL). The primary treatment is still based on a non-pharmacological approach that includes education measures, lifestyle modification and reassurance, regarding the benign nature of the condition. Intervening to control prodromal symptoms and prevent RS may promote a better QOL of these patients. <strong>O</strong><strong>bjective: </strong>The aim of this preventive program is to improve QOL in patients (P) with recurrent RS by education, reinforcing syncope prevention measures (Class I ESC Guidelines 2018). <strong>Methods: </strong>We applied a specific questionnaire on the Impact of Syncope on Quality of Life (ISQL) to all P referred to our department to perform head-up tilt testing (HUT) from May 2020 to December 2021. After a positive HUT, P received an educational and training program with general measures to avoid syncope recurrence. Three, six and twelve months after HUT, through teleconsultation, a new ISQL application was completed and educational measures sessions repeated. The protocol was in accordance with the Declaration of Helsinki and approved by the local ethics committee. <strong>Results: </strong>We studied 163 P (63.8% women, average age of 56.3 years). The maintained adherence to the educational preventive measures was 67%, but significantly higher in the younger group (≤ 40 years old) with the hypotensive phenotype. Syncope recurrence was noticed in 21% (n=34), with a mean recurrence of 1.5 episodes/year, of which 7% (n=11) visited the emergency department. The average ISQL at admission on Syncope Unit was 44.9±12.1, and after the program (last follow-up/discharge) was 54.9±6.4 (p<0.05). ISQL showed an increase of 6.3%, justified by complying avoidance triggers such as "being in warm or hot environments" (severity in admission of 6.35 vs. discharge 15.87) and "standing up for long periods of time (>5 min)" (severity in admission 6.35 vs. discharge 26.98), which shows the importance of understanding and apply the syncope preventive measures. <strong>Conclusions: </strong>A systematic educational program for P with recurrent RS may have potential benefits as a complement in the treatment, with significant improvement in ISQL index.</span></span></span></span></p> <p> </p>
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