@article{ref1,
title="Cardiac syncope due to pain : Report of a case responsive to duloxetine treatment",
journal="Herz",
year="2013",
author="Kaplan, C. and Kocaman, S. A. and Durakoğlugil, M. E. and Kaya, E. and Senol, M. G.",
volume="38",
number="6",
pages="683-684",
abstract="Neurocardiogenic syncope comprises situations triggered by neurological reflexes resulting in abnormal responses of the neurocardiovascular system that cause loss of consciousness. A vast number of clinical conditions may cause this disorder including pain, defecation, micturition, swallowing, cough, sudden fear or excitement, exercise, and long-time standing. Treatment options for syncope prevention are not satisfactory. Several agents were used for pharmacological treatment without success. Selective inhibitors of neuronal norepinephrine transporter (NET) like duloxetine may play a role in neurally mediated syncope by increasing synaptic norepinephrine levels. Therefore, we report the effect of duloxetine in a patient with pain-induced syncope resistant to standard regimens.<p /> <p>Language: en</p>",
language="en",
issn="0340-9937",
doi="10.1007/s00059-012-3734-6",
url="http://dx.doi.org/10.1007/s00059-012-3734-6"
}