@article{ref1,
title="Cardiovascular syncope is the most common cause of drop attacks in the elderly",
journal="Pacing and clinical electrophysiology",
year="1997",
author="Dey, A. B. and Stout, N. R. and Kenny, R. A.",
volume="20",
number="3 Pt 2",
pages="818-819",
abstract="Drop attacks are defined as a sudden loss of postural tone without loss of consciousness. The mechanism is often unknown. This report examines findings in consecutive elderly patients with drop attacks referred to a dedicated &quot;syncope and falls&quot; center. Thirty-five patients were included. A diagnosis was established in 25 (71%); cardioinhibitory cartoid sinus syndrome (CSS) or mixed CSS in 15, vasodepressor CSS in 3, orthostatic hypotension in 5, vasovagal syncope in 1, and gait imbalance in 1. In 21%, more than one pathological diagnosis was present. In conclusion, absence of a history of syncope is unreliable in elderly patients, and these individuals should be routinely investigated for hemodynamic changes during carotid massage and standing.<p /><p>Language: en</p>",
language="en",
issn="0147-8389",
doi="",
url="http://dx.doi.org/"
}