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学科主题: 临床医学
题名:
alpha-Adrenoceptor agonists for the treatment of vasovagal syncope: a meta-analysis of worldwide published data
作者: Liao, Ying1; Li, Xueying2; Zhang, Yanwu3; Chen, Stella4; Tang, Chaoshu5; Du, Junbao1,6
关键词: alpha-adrenoceptor agonists ; Meta-analysis ; Randomized controlled trial ; Vasovagal syncope
刊名: ACTA PAEDIATRICA
发表日期: 2009-07-01
DOI: 10.1111/j.1651-2227.2009.01289.x
卷: 98, 期:7, 页:1194-1200
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Pediatrics
研究领域[WOS]: Pediatrics
关键词[WOS]: NEURALLY-MEDIATED SYNCOPE ; PLACEBO-CONTROLLED TRIAL ; HEAD-UP TILT ; DOUBLE-BLIND ; NEUROCARDIOGENIC SYNCOPE ; CLINICAL-TRIALS ; MIDODRINE ; MANAGEMENT ; ETILEFRINE ; CAPACITANCE
英文摘要:

The present study was aimed at evaluating present randomized controlled trials (RCTs) regarding the effect of alpha-adrenoceptor agonists on vasovagal syncope (VVS).

According to inclusion and exclusion criteria, articles were selected from medical electronic databases. RCTs were then assessed based on the Juni assessment, and meta-analysis was completed using the Review Manager 4.2 software. Indication to further evaluate effects was the recurrence of syncope during follow-up treatment or a response in the head-up tilt test (HUT) after treatment. The results were stated as odd ratio (OR), with a 95% confidence interval (CI) and a p < 0.05 significant level.

In total, six RCTs were selected. Funnel plot analysis showed possible publication bias. Meta-analysis of the six RCTs, including all 165 patients in the treatment group and 164 patients in the control group, indicated that alpha-adrenoceptor agonists were more effective than placebos in treating VVS (OR = 0.21, 95% CI: 0.06-0.77, p = 0.02). The further, weighted independent t-test disclosed that the weighted mean percentage of responders for midodrine (76.3% +/- 7.7%) was significantly higher than that for etilefrine (65.5% +/- 15.4%) (t = 5.863, p < 0.001).

The currently published RCTs support that alpha-adrenoceptor agonists might be effective for VVS. Midodrine can be regarded as a better choice compared with etilefrine.

语种: 英语
所属项目编号: 2004BA720A10 ; 2006 CB503807 ; 30821001 ; 2007-2003
项目资助者: National Tenth Five-Year Plan Research Project of China ; Changjiang Scholar Program and the Major Basic Research Project of China ; National Natural Science Foundation of China ; Capital Medical Development Fundation
WOS记录号: WOS:000266636400024
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55469
Appears in Collections:北京大学第一临床医学院_儿科_期刊论文

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作者单位: 1.Peking Univ, Dept Pediat, Hosp 1, Beijing 100034, Peoples R China
2.Peking Univ, Dept Stat, Hosp 1, Beijing 100034, Peoples R China
3.Peking Univ, Med Lib, Hosp 1, Beijing 100034, Peoples R China
4.Torrey Pines High Sch, San Diego, CA USA
5.Peking Univ, Hlth Sci Ctr, Dept Physiol & Pathophysiol, Beijing 100034, Peoples R China
6.Minist Educ China, Key Lab Mol Cardiol, Beijing, Peoples R China

Recommended Citation:
Liao, Ying,Li, Xueying,Zhang, Yanwu,et al. alpha-Adrenoceptor agonists for the treatment of vasovagal syncope: a meta-analysis of worldwide published data[J]. ACTA PAEDIATRICA,2009,98(7):1194-1200.
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