Page last updated: 2024-10-28

lidocaine and Syncope

lidocaine has been researched along with Syncope in 49 studies

Lidocaine: A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
lidocaine : The monocarboxylic acid amide resulting from the formal condensation of N,N-diethylglycine with 2,6-dimethylaniline.

Syncope: A transient loss of consciousness and postural tone caused by diminished blood flow to the brain (i.e., BRAIN ISCHEMIA). Presyncope refers to the sensation of lightheadedness and loss of strength that precedes a syncopal event or accompanies an incomplete syncope. (From Adams et al., Principles of Neurology, 6th ed, pp367-9)

Research Excerpts

ExcerptRelevanceReference
"Tussive syncope is a rare condition that often responds to treatment of the underlying cause of coughing."5.30Nebulized lidocaine in the treatment of refractory tussive syncope. ( Morley, TF; Whims, LA; Zappasodi, SJ, 1998)
" We discuss the literature that has influenced current office behavior regarding endocarditis prophylaxis, the use of electrosurgery with pacemakers, arrhythmogenic drug interactions, vasovagal syncope, lidocaine "allergy," and bleeding complications from oral anticoagulants."4.79Medical issues and emergencies in the dermatology office. ( Fader, DJ; Johnson, TM, 1997)
"A 70-year-old man, on prenylamine for exertional angina, complained of syncopal attacks which seemed to be caused by bursts of ventricular tachycardia associated with Q-T prolongation."3.66Prenylamine-induced ventricular arrhythmias and syncopal attacks with Q-T prolongation. Report of a case and comment on therapeutic use of lignocaine. ( Bartolomei, C; Riccioni, N; Soldani, S, 1980)
"Double vision was noticed once intraoperatively (Articain) and postoperatively (Lidocain)."2.67[General complications in dental local anesthesia]. ( Hidding, J; Khoury, F, 1991)
"Finally, seizure-like nonepileptic disorders were reviewed and differential diagnostic points highlighted."2.36Seizures and seizure-like states in the child: an approach to emergency management. ( Oppenheimer, EY; Rosman, NP, 1983)
"Syncope was abolished after successful radiofrequency catheter ablation of the AFL."1.31Syncope in patients with atrial flutter during treatment with class Ic antiarrhythmic drugs. ( Azegami, K; Hiejima, K; Hirao, K; Horikawa, T; Kawabata, M; Motokawa, K; Suzuki, F; Suzuki, K, 2001)
"Tussive syncope is a rare condition that often responds to treatment of the underlying cause of coughing."1.30Nebulized lidocaine in the treatment of refractory tussive syncope. ( Morley, TF; Whims, LA; Zappasodi, SJ, 1998)
"A 28-year-old woman experienced respiratory depression and hemiplegia after the injection of a superficial trapezius trigger point."1.30Intrathecal injection: unusual complication of trigger-point injection therapy. ( Hoffman, RS; Nelson, LS, 1998)
"Torsade de pointes (TdP) syncopal episodes were almost invariably precipitated by emotional stress or menstruation in a 17-year-old girl."1.28Role of early afterdepolarization in familial long QTU syndrome and torsade de pointes. ( Liu, WY; Zheng, LR; Zhou, JT, 1992)
"Diazepam was also effective in reducing the cardiac response."1.26Changes in heart rate during administration of local anesthetics in neuropsychiatric patients. ( Nakajima, T; Yakata, H; Yokobayashi, T, 1979)

Research

Studies (49)

TimeframeStudies, this research(%)All Research%
pre-199023 (46.94)18.7374
1990's10 (20.41)18.2507
2000's8 (16.33)29.6817
2010's5 (10.20)24.3611
2020's3 (6.12)2.80

Authors

AuthorsStudies
Ola, O1
Gharacholou, SM1
Del-Carpio Munoz, F1
Ke, Z1
Li, C1
Bai, G1
Tan, L1
Wang, J1
Zhou, M1
Zhou, J1
Chen, SY1
Dong, X1
Arias, MA1
Pachón, M1
Loughlin, G1
Lloyd, MG1
Wakeling, JM1
Koehle, MS1
Drapala, RJ1
Claydon, VE1
Petit, PF1
Hantson, P1
Jadoul, M1
Gillion, V1
DeLillo, DM1
Jesty, SA1
Souza, MJ1
Beyer, A1
Ganti, B1
Majkrzak, A1
Theyyunni, N1
Takaya, T1
Okamoto, M1
Yodoi, K1
Hata, K1
Kijima, Y1
Nakajima, H1
Nishikawa, Y1
Kita, T1
Ito, M1
Seo, T1
Kawashima, S1
Mizobuchi, M1
Enjoji, Y1
Nakamura, S1
Muranishi, H1
Utsunomiya, M1
Funatsu, A1
Kobayashi, T1
Nogami, A1
Nakao, M1
Kubota, S1
Sugiyasu, A1
Doi, H1
Yokoyama, K1
Yumoto, K1
Tamaki, T1
Kato, K1
Hosokawa, N1
Sagai, H1
Nakamura, H1
Nitta, J1
Yamauchi, Y1
Aonuma, K1
Ikeda, T1
Abe, A1
Yusu, S1
Nakamura, K1
Ishiguro, H1
Mera, H1
Yotsukura, M1
Yoshino, H1
Yoshisato, T1
Takeda, H1
Sekiguchi, Y1
Tsuburaya, R1
Endo, N1
Niitsuma, T1
Miura, E1
Hirosaka, A1
Owada, K1
Tamagawa, K1
Bamgbade, OA1
Surber, R1
Hensellek, S1
Prochnau, D1
Werner, GS1
Benndorf, K1
Figulla, HR1
Zimmer, T1
Lew, HT1
March, HW1
Oppenheimer, EY1
Rosman, NP1
Milne, JR1
Ward, DE2
Spurrell, RA1
Camm, AJ1
Gmeiner, R1
Ng, CK1
Kirchmair, W1
Hochleitner, M1
Tamari, I1
Rabinowitz, B1
Neufeld, HN2
Riccioni, N1
Bartolomei, C1
Soldani, S1
Sutherland, R1
Fader, DJ1
Johnson, TM1
Selcuk, E1
Ertürk, S1
Afrashi, A1
Whims, LA1
Zappasodi, SJ1
Morley, TF1
Nelson, LS1
Hoffman, RS1
Lustig, JP1
Zusman, SP1
Rood, JP1
Kawabata, M1
Hirao, K1
Horikawa, T1
Suzuki, K1
Motokawa, K1
Suzuki, F1
Azegami, K1
Hiejima, K1
Yakata, H1
Yokobayashi, T1
Nakajima, T1
Cass, N1
Morgan, C1
Verrill, PJ1
Muir, VM1
Leonard, M1
Haddaway, E1
Zhou, JT1
Zheng, LR1
Liu, WY1
Waxman, MB1
Asta, JA1
Cameron, DA1
Endrenyi, L1
D'Eramo, EM1
Hidding, J1
Khoury, F1
Levy, SM1
Baker, KA1
Cheesman, M1
Slama, R1
Coumel, P1
Motte, G1
Gourgon, R1
Waynberger, M1
Touche, S1
Lyon, LJ1
Singer, K1
Lundberg, WB1
Kaplinsky, E1
Yahini, JH1
Barzilai, J1
McRae, JR1
Wagner, GS1
Rogers, MC1
Canent, RV1
Pomerantz, B1
O'Rourke, RA1
Schacher, V1
Iranpour, B1
Mills, J1
Kornprobst, L1
Sapru, RP1
Griffiths, PH1
Guz, A1
Eisele, J1
Miller, DS1
Blount, AW1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine[NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated (stopped due to Efficacy was not seen after interim analysis)
Maternal-Fetal Monitoring of Patients With Rheumatic Heart Disease During Dental Procedure Under Local Anesthesia[NCT00482573]Phase 131 participants (Actual)Interventional2004-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

Reviews

5 reviews available for lidocaine and Syncope

ArticleYear
Severe needle phobia in the perianesthesia setting.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2007, Volume: 22, Issue:5

    Topics: Acute Disease; Adult; Ambulatory Surgical Procedures; Desensitization, Psychologic; Epilepsies, Part

2007
Seizures and seizure-like states in the child: an approach to emergency management.
    Emergency medicine clinics of North America, 1983, Volume: 1, Issue:1

    Topics: Anesthesia, General; Child; Child, Preschool; Diagnosis, Differential; Diazepam; Emergencies; Humans

1983
Medical issues and emergencies in the dermatology office.
    Journal of the American Academy of Dermatology, 1997, Volume: 36, Issue:1

    Topics: Anaphylaxis; Anesthetics, Local; Anti-Arrhythmia Agents; Anticoagulants; Cerebrovascular Disorders;

1997
An adverse reaction to local anaesthesia: report of a case.
    Dental update, 1996, Volume: 23, Issue:8

    Topics: Adult; Anesthesia, Dental; Anesthesia, Local; Anesthetics, Local; Diagnostic Errors; Drug Hypersensi

1996
The Stokes-Adams syndrome.
    The American journal of medicine, 1969, Volume: 46, Issue:6

    Topics: Adams-Stokes Syndrome; Adrenal Cortex Hormones; Arrhythmias, Cardiac; Atropine; Chlorothiazide; Digi

1969

Trials

3 trials available for lidocaine and Syncope

ArticleYear
[General complications in dental local anesthesia].
    Deutsche zahnarztliche Zeitschrift, 1991, Volume: 46, Issue:12

    Topics: Adult; Anesthesia, Dental; Anesthesia, Local; Anesthetics, Local; Carticaine; Diplopia; Double-Blind

1991
[Ventricular tachycardia and "volley of ventricular spikes". Morphological frontiers between ventricular dysrhythmias].
    Archives des maladies du coeur et des vaisseaux, 1973, Volume: 66, Issue:11

    Topics: Cardiac Complexes, Premature; Clinical Trials as Topic; Diagnosis, Differential; Electrocardiography

1973
The local anesthetic efficacy of tripelennamine hydrochloride.
    Journal of oral therapeutics and pharmacology, 1967, Volume: 3, Issue:4

    Topics: Anesthesia, Dental; Anesthesia, Local; Animals; Clinical Trials as Topic; Dental Cavity Preparation;

1967

Other Studies

41 other studies available for lidocaine and Syncope

ArticleYear
Massive Discordant T-Wave Alternans and Imminent Torsades de Pointes: The "Elephant in the Room".
    JAMA internal medicine, 2021, 10-01, Volume: 181, Issue:10

    Topics: Anti-Arrhythmia Agents; Chest Pain; Cocaine-Related Disorders; Electrocardiography; Female; Humans;

2021
KCNH2 mutation c.3099_3112del causes congenital long QT syndrome type 2 with gender differences.
    Clinics (Sao Paulo, Brazil), 2023, Volume: 78

    Topics: ERG1 Potassium Channel; Ether-A-Go-Go Potassium Channels; Female; Humans; Lidocaine; Long QT Syndrom

2023
New Onset Recurrent Syncope Triggered by Fever.
    Circulation, 2020, 03-17, Volume: 141, Issue:11

    Topics: Amiodarone; Coronary Angiography; Drug Therapy, Combination; Electric Countershock; Electrocardiogra

2020
Carotid sinus hypersensitivity: block of the sternocleidomastoid muscle does not affect responses to carotid sinus massage in healthy young adults.
    Physiological reports, 2017, Volume: 5, Issue:19

    Topics: Adult; Anesthetics, Local; Baroreflex; Blood Pressure; Carotid Sinus; Female; Humans; Lidocaine; Mal

2017
The Case | Severe hypokalemia complicated by a syncope.
    Kidney international, 2018, Volume: 94, Issue:1

    Topics: Administration, Topical; Aged, 80 and over; Benzalkonium Compounds; Drug Combinations; Electrocardio

2018
Episodic syncope caused by ventricular flutter in a tiger (Panthera tigris).
    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians, 2013, Volume: 44, Issue:2

    Topics: Animals; Anti-Arrhythmia Agents; Lidocaine; Male; Panthera; Sotalol; Syncope; Ventricular Flutter

2013
A Perfect Storm: Tyrosine Kinase Inhibitor-Associated Polymorphic Ventricular Tachycardia.
    The Journal of emergency medicine, 2017, Volume: 52, Issue:4

    Topics: Adenine; Amiodarone; Anti-Arrhythmia Agents; Antineoplastic Agents; Cardiotonic Agents; Electric Cou

2017
Torsades de Pointes with QT prolongation related to donepezil use.
    Journal of cardiology, 2009, Volume: 54, Issue:3

    Topics: Aged, 80 and over; Alzheimer Disease; Cholinesterase Inhibitors; Colitis; Donepezil; Electrocardiogr

2009
Ventricular late potential in patients with apparently normal electrocardiogram; predictor of Brugada syndrome.
    Pacing and clinical electrophysiology : PACE, 2010, Volume: 33, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Brugada Syndrome; Chi-Square Distribution; Electrocardiography; Fema

2010
Enhancement of J-ST-segment elevation by the glucose and insulin test in Brugada syndrome.
    Pacing and clinical electrophysiology : PACE, 2003, Volume: 26, Issue:1P2

    Topics: Adult; Anti-Arrhythmia Agents; Bundle-Branch Block; Electrocardiography; Glucose; Heart Arrest; Huma

2003
The full stomach test as a novel diagnostic technique for identifying patients at risk of Brugada syndrome.
    Journal of cardiovascular electrophysiology, 2006, Volume: 17, Issue:6

    Topics: Adult; Brugada Syndrome; Circadian Rhythm; Electrocardiography; Electrophysiologic Techniques, Cardi

2006
[Elderly Brugada syndrome with recurrent syncope, diagnosed by pilsicainide challenge test].
    Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine, 2007, Jun-10, Volume: 96, Issue:6

    Topics: Aged; Brugada Syndrome; Electrocardiography; Humans; Lidocaine; Male; Recurrence; Syncope

2007
Combination of cardiac conduction disease and long QT syndrome caused by mutation T1620K in the cardiac sodium channel.
    Cardiovascular research, 2008, Mar-01, Volume: 77, Issue:4

    Topics: Action Potentials; Adolescent; Adult; Ajmaline; Animals; Anti-Arrhythmia Agents; Bundle-Branch Block

2008
Control of recurrent ventricular fibrillation by transvenous pacing in the absence of heart block.
    American heart journal, 1967, Volume: 73, Issue:6

    Topics: Aged; Atropine; Electric Countershock; Heart Block; Heart Massage; Humans; Lidocaine; Male; Pacemake

1967
The long QT syndrome; effects of drugs and left stellate ganglion block.
    American heart journal, 1982, Volume: 104, Issue:2 Pt 1

    Topics: Adult; Arrhythmias, Cardiac; Autonomic Nerve Block; Child; Electrocardiography; Female; Humans; Inje

1982
[Clinical and electrophysiological observations in a case of Romano-Ward syndrome ].
    Wiener klinische Wochenschrift, 1982, May-14, Volume: 94, Issue:10

    Topics: Adolescent; Arrhythmias, Cardiac; Electrocardiography; Female; Heart Ventricles; Humans; Lidocaine;

1982
Torsade de pointes due to prenylamine controlled by lignocaine.
    European heart journal, 1982, Volume: 3, Issue:4

    Topics: Aged; Angina Pectoris; Coronary Disease; Dizziness; Electrocardiography; Female; Humans; Lidocaine;

1982
Prenylamine-induced ventricular arrhythmias and syncopal attacks with Q-T prolongation. Report of a case and comment on therapeutic use of lignocaine.
    Cardiology, 1980, Volume: 66, Issue:4

    Topics: Aged; Electrocardiography; Heart Ventricles; Humans; Lidocaine; Male; Prenylamine; Syncope; Tachycar

1980
Fit with finger block.
    Anaesthesia and intensive care, 1993, Volume: 21, Issue:1

    Topics: Anxiety; Fingers; Humans; Lidocaine; Nerve Block; Seizures; Syncope

1993
Nebulized lidocaine in the treatment of refractory tussive syncope.
    The Journal of the American Osteopathic Association, 1998, Volume: 98, Issue:3

    Topics: Aerosols; Aged; Anesthetics, Local; Cough; Humans; Lidocaine; Male; Syncope

1998
Intrathecal injection: unusual complication of trigger-point injection therapy.
    Annals of emergency medicine, 1998, Volume: 32, Issue:4

    Topics: Administration, Topical; Adult; Anesthetics, Local; Anti-Inflammatory Agents; Drug Combinations; Fac

1998
Immediate complications of local anesthetic administered to 1,007 consecutive patients.
    Journal of the American Dental Association (1939), 1999, Volume: 130, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anesthesia, Dental; Anesthesia, Local; Anesthetics, Loca

1999
Adverse reaction to dental local anaesthetic injection--'allergy' is not the cause.
    British dental journal, 2000, Oct-14, Volume: 189, Issue:7

    Topics: Anesthesia, Dental; Anesthetics, Local; Drug Hypersensitivity; Female; Humans; Immunologic Tests; In

2000
Syncope in patients with atrial flutter during treatment with class Ic antiarrhythmic drugs.
    Journal of electrocardiology, 2001, Volume: 34, Issue:1

    Topics: Adult; Anti-Arrhythmia Agents; Atrial Flutter; Catheter Ablation; Electrocardiography; Electrophysio

2001
Changes in heart rate during administration of local anesthetics in neuropsychiatric patients.
    Journal of oral surgery (American Dental Association : 1965), 1979, Volume: 37, Issue:5

    Topics: Adult; Anesthesia, Dental; Anesthesia, Local; Anti-Anxiety Agents; Autonomic Nervous System; Diazepa

1979
Sensitivity to lignocaine.
    Anaesthesia and intensive care, 1977, Volume: 5, Issue:4

    Topics: Aged; Drug Hypersensitivity; Humans; Lidocaine; Male; Syncope

1977
Collapse during spinal anaesthesia?
    Anaesthesia and intensive care, 1978, Volume: 6, Issue:2

    Topics: Aged; Analgesia; Anesthesia, Spinal; Humans; Lidocaine; Male; Pentobarbital; Preanesthetic Medicatio

1978
Adverse reactions to local anaesthetics and vasoconstrictor drugs.
    The Practitioner, 1975, Volume: 214, Issue:1281

    Topics: Anaphylaxis; Anesthesia, Dental; Anesthetics, Local; Arteriosclerosis; Blood Pressure; Coronary Dise

1975
Morbidity following dental extraction. A comparative survey of local analgesia and general anaesthesia.
    Anaesthesia, 1976, Volume: 31, Issue:2

    Topics: Adolescent; Adult; Age Factors; Aged; Anesthesia, Dental; Anesthesia, General; Anesthesia, Local; Ch

1976
Role of early afterdepolarization in familial long QTU syndrome and torsade de pointes.
    Pacing and clinical electrophysiology : PACE, 1992, Volume: 15, Issue:11 Pt 2

    Topics: Action Potentials; Adolescent; Cardiac Pacing, Artificial; Epinephrine; Female; Heart Conduction Sys

1992
Vasodepressor reaction induced by inferior vena caval occlusion and isoproterenol.
    Canadian journal of physiology and pharmacology, 1992, Volume: 70, Issue:6

    Topics: Animals; Atropine; Disease Models, Animal; Drug Administration Routes; Heart Rate; Hypotension; Infu

1992
Morbidity and mortality with outpatient anesthesia: the Massachusetts experience.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 1992, Volume: 50, Issue:7

    Topics: Aged; Ambulatory Surgical Procedures; Anesthesia, Dental; Anesthesia, General; Anesthesia, Intraveno

1992
Considerations in differential diagnosis of adverse reactions to local anesthetic: report of case.
    Journal of the American Dental Association (1939), 1986, Volume: 113, Issue:2

    Topics: Anesthesia, Dental; Anesthesia, Local; Diagnosis, Differential; Drug Hypersensitivity; Female; Human

1986
Exacerbation of ventricular tachycardia by tocainide.
    Clinical cardiology, 1985, Volume: 8, Issue:1

    Topics: Aged; Electrocardiography; Female; Heart Ventricles; Humans; Hypotension; Lidocaine; Male; Middle Ag

1985
Communications to the editor: Lidocaine for quinidine syncope.
    Chest, 1974, Volume: 66, Issue:4

    Topics: Humans; Lidocaine; Quinidine; Syncope

1974
Ventricular arrhythmias associated with the ingestion of alcohol.
    Annals of internal medicine, 1972, Volume: 77, Issue:2

    Topics: Adult; Alcohol Drinking; Arrhythmias, Cardiac; Electrocardiography; Epilepsy, Tonic-Clonic; Ethanol;

1972
Quinidine syncope; report of a case successfully treated with lidocaine.
    Chest, 1972, Volume: 62, Issue:6

    Topics: Adult; Atrial Fibrillation; Electrocardiography; Female; Humans; Lidocaine; Quinidine; Syncope; Tach

1972
Paroxysmal familial ventricular fibrillation.
    The Journal of pediatrics, 1974, Volume: 84, Issue:4

    Topics: Child; Death, Sudden; Electrocardiography; Electrophysiology; Humans; Lidocaine; Male; Propranolol;

1974
[Can everything be foreseen? An exceptional case of fatal syncope during local anesthesia].
    La Presse medicale, 1970, May-02, Volume: 78, Issue:22

    Topics: Anesthesia, Local; Female; France; Humans; Lidocaine; Malpractice; Surgery, Plastic; Syncope

1970
Syncope on swallowing.
    British heart journal, 1971, Volume: 33, Issue:4

    Topics: Adult; Atropine; Deglutition; Electrocardiography; Female; Heart Block; Humans; Lidocaine; Reflex, A

1971
Quinidine-induced recurrent ventricular fibrillation: (quinidine syncope) treated with transvenous pacemaker.
    Southern medical journal, 1971, Volume: 64, Issue:5

    Topics: Adult; Atrial Fibrillation; Atropine; Blood Cell Count; Chlorpromazine; Coumarins; Creatine Kinase;

1971