ArticleFrontiers in cardiovascular medicine2026
Implementation of evidence-based personalized nursing care for Two patients With vasodepressor syncope: a case report.
Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Vasodepressor syncope is a common subtype of reflex syncope. Although lifestyle modification, trigger avoidance, physical counterpressure manoeuvres, and orthostatic training are recommended, post-discharge nursing pathways that translate this evidence into individualized home-based care remain insufficiently described. Case presentation: We report two patients with tilt-test-confirmed vasodepressor syncope. Patient A was a 58-year-old man with recurrent brief syncopal episodes, fall-related injury, and insufficient prodrome recognition and self-monitoring. Patient B was a 74-year-old woman with recurrent dizziness and syncope-like episodes, blood pressure variability, cerebrovascular comorbidity, and higher anxiety related to unpredictable episodes. Intervention: An evidence-based personalized nursing care pathway was developed using guideline recommendations, syncope-related clinical studies, and individualized patient assessment. The intervention included lifestyle modification, fluid and salt intake guidance, physical counterpressure manoeuvre training, orthostatic/tilt training, blood pressure and heart-rate self-monitoring, trigger management, family involvement, and psychological support. Follow-up was performed by telephone and outpatient review over 3 weeks. Outcomes: No syncope recurrence, fall event, or other major discomfort occurred during the 3-week follow-up. Patient A showed improvement in EQ-5D-5L index from 0.720 to 0.906 and EQ VAS from 58 to 75; GAD-7 decreased from 8 to 5 and FES-I from 48 to 32. Patient B showed improvement in EQ-5D-5L index from 0.467 to 0.651 and EQ VAS from 48 to 66; GAD-7 decreased from 15 to 10 and FES-I from 44 to 36. Conclusion: A structured personalized nursing care pathway may support self-management, fall-prevention behaviours, and patient-reported outcomes in vasodepressor syncope. As this report involves only two cases and a short follow-up, the absence of recurrence should be interpreted as an early observation requiring prospective verification.
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