| Clinical characteristics of defecation syncope compared with micturition syncope. | |
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MedLine Citation:
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PMID: 20032564 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Defecation syncope (DS) and micturition syncope (MS) are daily excretion-related syndromes that are both classified as situational. However, their clinical features seem to be very different, so the present comparative study aimed to clarify those of DS. METHODS AND RESULTS: The study population consisted of 20 consecutive patients with DS and 37 consecutive patients with MS. The DS patients were significantly older than the MS patients (63+/-15 vs 52+/-17 years, P=0.026). Gender was significantly different (P=0.026): women predominated in the DS group (60%) whereas men more commonly had MS (70%). The diurnal distribution of syncope differed (P=0.0054): 88% of MS episodes occurred between 6 pm and 6 am, whereas DS occurred almost equally throughout the 24 h. Syncope after drinking alcohol was less common with DS (10%) than with MS (60%) (P=0.0003), whereas gastrointestinal tract (GIT) symptoms as a premonitory sign were more common with DS (55%) than with MS (3%) (P<0.0001). Positive responses to head-up tilt testing did not differ between the DS and MS groups. CONCLUSIONS: DS tends to occur in elderly women and without any significant daily distribution. Alcohol-related syncope was uncommon in patients with DS, and preceding GIT symptoms may be important as predictors or triggering factors. |
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Authors:
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Kaoru Komatsu; Masataka Sumiyoshi; Haruhiko Abe; Ritsuko Kohno; Hidemori Hayashi; Gaku Sekita; Takashi Tokano; Yuji Nakazato; Hiroyuki Daida |
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Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study Date: 2009-12-22 |
Journal Detail:
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Title: Circulation journal : official journal of the Japanese Circulation Society Volume: 74 ISSN: 1347-4820 ISO Abbreviation: Circ. J. Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-25 Completed Date: 2010-03-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101137683 Medline TA: Circ J Country: Japan |
Other Details:
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Languages: eng Pagination: 307-11 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Aged, 80 and over Alcohol Drinking / adverse effects Cardiovascular Diseases / complications Circadian Rhythm Defecation* Female Gastrointestinal Diseases / etiology Humans Japan Male Middle Aged Posture Retrospective Studies Risk Factors Sex Factors Syncope / diagnosis, etiology*, physiopathology Tilt-Table Test Urination* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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