Teaching counter pressure maneouvres: Difference between revisions

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==Patient education of physical countermanoeuvres using continuous on-screen blood pressure monitoring==  
==Patient education of physical countermanoeuvres using continuous on-screen blood pressure monitoring==  
N. van Dijk, C.T.P. Krediet and W. Wieling
''N. van Dijk, C.T.P. Krediet and W. Wieling''
Department of Medicine. Academic Medical Centre, University of Amsterdam. Amsterdam (The Netherlands)
''Department of Medicine. Academic Medical Centre, University of Amsterdam. Amsterdam (The Netherlands)''


===Case report===
===Case report===
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Training of physical countermanoeuvres can also be performed during tilt-table testing. When vasovagal syncope is induced for diagnostic purposes, patients can apply manoeuvres to postpone or even abort the episode. The laboratory circumstances provide them with maximal confidence in the possibilities of the manoeuvres to abort a faint (Figure).  It is advisable to instruct patient on the manoeuvres and let them practice before starting the tilt-table test.
Training of physical countermanoeuvres can also be performed during tilt-table testing. When vasovagal syncope is induced for diagnostic purposes, patients can apply manoeuvres to postpone or even abort the episode. The laboratory circumstances provide them with maximal confidence in the possibilities of the manoeuvres to abort a faint (Figure).  It is advisable to instruct patient on the manoeuvres and let them practice before starting the tilt-table test.
We suggested earlier that patients may benefit from practicing legcrossing and lower body muscle tensing while standing motionless each morning as part of their daily routine [<cite>3</cite>] (i.e. when brushing their teeth) to prevent delay because of problems remembering them when they are needed.  
We suggested earlier that patients may benefit from practicing legcrossing and lower body muscle tensing while standing motionless each morning as part of their daily routine [<cite>3</cite>] (i.e. when brushing their teeth) to prevent delay because of problems remembering them when they are needed.
 


==References==
==References==
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