Page last updated: 2024-10-31

metoprolol and Syncope

metoprolol has been researched along with Syncope in 36 studies

Metoprolol: A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.
metoprolol : A propanolamine that is 1-(propan-2-ylamino)propan-2-ol substituted by a 4-(2-methoxyethyl)phenoxy group at position 1.

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
"Intravenous metoprolol was found to be significantly more effective than placebo in preventing head-up tilt-table induced neurally mediated syncope."9.08Usefulness of intravenous metoprolol to prevent syncope induced by head-up tilt. ( Azar, P; Bazunga, M; Chow, MS; Goldman, R; Kluger, J; O'Rangers, E, 1998)
" To unmask the potential risk of Tdp in a patient with normal or borderline prolongation of QTc interval and recurrent syncope, dobutamine was given intravenously at a rate of 20 microg/kg/min."7.75Dobutamine infusion for unmasking long QT syndrome and torsades de pointes. ( Cuilan, L; Dayi, H; Kangan, C; Peng, G; Quan, F; Richard, CC, 2009)
"We conclude that metoprolol is safe and effective for the treatment of most cases of neurocardiogenic syncope in children and that this response cannot be predicted accurately by the use of intravenous metoprolol during testing."7.69Tilt-table testing and oral metoprolol therapy in young patients with unexplained syncope. ( MacLellan-Tobert, SG; O'Marcaigh, AS; Porter, CJ, 1994)
"The efficacy of intravenous metoprolol in preventing symptoms during a repeat tilt test was compared with the outcome of chronic oral treatment in 21 patients (14 female, 7 male), age 8 to 20 years (mean 13 +/- 3) with unexplained syncope (> or = 1 episode) and a positive response to tilt testing."7.68Usefulness of metoprolol for unexplained syncope and positive response to tilt testing in young persons. ( Benson, DW; Deal, BJ; Müller, G; Strasburger, JF, 1993)
"The usefulness of esmolol in predicting the efficacy of treatment with an oral beta-adrenergic blocking agent was evaluated in 27 consecutive patients with neurocardiogenic syncope."7.68Use of intravenous esmolol to predict efficacy of oral beta-adrenergic blocker therapy in patients with neurocardiogenic syncope. ( Akhtar, M; Avitall, B; Jazayeri, MR; Murthy, VS; Shen, YH; Sra, JS; Troup, PJ, 1992)
"The 3-dimensional CPF is simple, easy to use, stable over time, measures 3 independent variables, and documents that metoprolol does not reduce presyncope."5.14Design and use of a quantitative scale for measuring presyncope. ( Amuah, JE; Connolly, SJ; Fouad-Tarazi, F; Klingenheben, T; Koshman, ML; Krahn, AD; Kus, T; Morillo, CA; Ritchie, D; Rose, S; Sheldon, A; Sheldon, RS; Talajic, M, 2009)
"Intravenous metoprolol was found to be significantly more effective than placebo in preventing head-up tilt-table induced neurally mediated syncope."5.08Usefulness of intravenous metoprolol to prevent syncope induced by head-up tilt. ( Azar, P; Bazunga, M; Chow, MS; Goldman, R; Kluger, J; O'Rangers, E, 1998)
" To unmask the potential risk of Tdp in a patient with normal or borderline prolongation of QTc interval and recurrent syncope, dobutamine was given intravenously at a rate of 20 microg/kg/min."3.75Dobutamine infusion for unmasking long QT syndrome and torsades de pointes. ( Cuilan, L; Dayi, H; Kangan, C; Peng, G; Quan, F; Richard, CC, 2009)
"To examine hemodynamic, plasma catecholamines, and cyclic AMP changes during tilt in patients with neurocardiogenic (vasodepressor) syncope, six patients underwent 80 degrees head-up tilt test for 10 minutes with isoproterenol infusion (1-3 micrograms/min)."3.69Plasma catecholamines and cyclic AMP response during head-up tilt test in patients with neurocardiogenic (vasodepressor) syncope. ( Abe, H; Izumi, F; Kobayashi, H; Kuroiwa, A; Nakashima, Y, 1995)
"We conclude that metoprolol is safe and effective for the treatment of most cases of neurocardiogenic syncope in children and that this response cannot be predicted accurately by the use of intravenous metoprolol during testing."3.69Tilt-table testing and oral metoprolol therapy in young patients with unexplained syncope. ( MacLellan-Tobert, SG; O'Marcaigh, AS; Porter, CJ, 1994)
"Seventy consecutive patients with recurrent unexplained syncope were evaluated by use of an up-right tilt-table test for 45 minutes (with or without an infusion of isoproterenol) in an attempt to reproduce symptoms."3.68[Malignant vasovagal syncope: its diagnosis and therapeutic trial based on the orthostatism test (the tilt-table test)]. ( Campos Peris, JV; de la Morena, G; García García, J; Jaén Armand, E; López Candel, J; Martínez Sánchez, J; Picó Aracil, F; Ruiz Ros, JA; Salas, J; Sánchez Muñoz, JJ, 1993)
"The efficacy of intravenous metoprolol in preventing symptoms during a repeat tilt test was compared with the outcome of chronic oral treatment in 21 patients (14 female, 7 male), age 8 to 20 years (mean 13 +/- 3) with unexplained syncope (> or = 1 episode) and a positive response to tilt testing."3.68Usefulness of metoprolol for unexplained syncope and positive response to tilt testing in young persons. ( Benson, DW; Deal, BJ; Müller, G; Strasburger, JF, 1993)
"The usefulness of esmolol in predicting the efficacy of treatment with an oral beta-adrenergic blocking agent was evaluated in 27 consecutive patients with neurocardiogenic syncope."3.68Use of intravenous esmolol to predict efficacy of oral beta-adrenergic blocker therapy in patients with neurocardiogenic syncope. ( Akhtar, M; Avitall, B; Jazayeri, MR; Murthy, VS; Shen, YH; Sra, JS; Troup, PJ, 1992)
"During evaluation for palpitations, presyncope, or syncope, seven pregnant women had documented ventricular tachycardia."2.38New-onset ventricular tachycardia during pregnancy. ( Allen, B; Brodsky, M; Doria, R; Sada, M; Sato, D; Thomas, G, 1992)
"Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare but potentially lethal inherited arrhythmia syndrome induced by adrenergic stress."1.48A delayed diagnosis of catecholaminergic polymorphic ventricular tachycardia with a mutant of RYR2 at c.7580T>G for 6 years in a 9-year-old child. ( Duan, H; Hua, Y; Li, Y; Lu, Y; Qiao, L; Wang, C; Yan, S; Zhou, K, 2018)
"Catecholaminergic polymorphic ventricular tachycardia was diagnosed with the aid of an implantable loop recorder."1.39A de novo novel cardiac ryanodine mutation (Ser4155Tyr) associated with catecholaminergic polymorphic ventricular tachycardia. ( Anastasakis, A; Kotsaka, X; Luria, D; Mantziari, L; Paraskevaidis, S; Styliadis, IH; Vassilikos, V, 2013)
"Syncope was induced during baseline head-up tilt in nine patients (group III) and after isoproterenol challenge in five (group IV)."1.28Echocardiographic demonstration of decreased left ventricular dimensions and vigorous myocardial contraction during syncope induced by head-up tilt. ( Akhtar, M; Anderson, AJ; Avitall, B; Gal, R; Jazayeri, MR; Shalev, Y; Tchou, PJ, 1991)
" Beta blockade was obtained by infusing metoprolol intravenously at a dosage of 0."1.27[Influence of beta block and autonomic nerve block on the recovery time of the sinus node in sick sinus syndrome and carotid sinus syndrome]. ( Barra, M; Bertulla, A; Brignole, M; Menozzi, C; Monducci, I; Sartore, B, 1984)

Research

Studies (36)

TimeframeStudies, this research(%)All Research%
pre-19901 (2.78)18.7374
1990's18 (50.00)18.2507
2000's6 (16.67)29.6817
2010's10 (27.78)24.3611
2020's1 (2.78)2.80

Authors

AuthorsStudies
Bottigliero, D1
Monaco, I1
Santacroce, R1
Casavecchia, G1
Correale, M1
Guastafierro, F1
Leccese, A1
Cordisco, G1
Ieva, R1
Trunzo, R1
Di Biase, M1
Margaglione, M1
Brunetti, ND1
Mahowald, MK1
Fender, EA1
Prasad, A1
Nishimura, RA1
Muniyappa, A1
Goldschlager, N1
Carroll, C1
Hassanin, A1
Velibey, Y1
Yaylak, B1
Guvenc, TS1
Cinier, G1
Kalenderoglu, K1
Guzelburc, O1
Yildirimturk, O1
Duan, H1
Lu, Y1
Yan, S1
Qiao, L1
Hua, Y1
Li, Y1
Zhou, K1
Wang, C1
Mantziari, L1
Vassilikos, V1
Anastasakis, A1
Kotsaka, X1
Paraskevaidis, S1
Styliadis, IH1
Luria, D1
Schroeder, C1
Heusser, K1
Zoerner, AA1
Großhennig, A1
Wenzel, D1
May, M1
Sweep, FC1
Mehling, H1
Luft, FC1
Tank, J1
Jordan, J2
Abu-Zeitone, A1
Peterson, DR1
Polonsky, B1
McNitt, S1
Moss, AJ1
Tagawa, M1
Ochiai, S1
Nakamura, Y1
Sato, A1
Chinushi, M1
Meena, DS1
Meena, CB1
Parvez, J1
Quan, F1
Peng, G1
Kangan, C1
Dayi, H1
Cuilan, L1
Richard, CC1
Sheldon, RS1
Amuah, JE1
Connolly, SJ1
Rose, S1
Morillo, CA1
Talajic, M1
Kus, T1
Fouad-Tarazi, F1
Klingenheben, T1
Krahn, AD1
Sheldon, A1
Koshman, ML1
Ritchie, D1
Binder, WD1
Fifer, MA1
King, ME1
Stone, JR1
Jacobs, A1
Knight, BP1
McDonald, KT1
Burke, MC1
Thürmann, PA1
Haack, S1
Werner, U1
Szymanski, J1
Haase, G1
Drewelow, B1
Reimann, IR1
Hippius, M1
Siegmund, W1
May, K1
Hasford, J1
Brignole, M1
Sartore, B1
Barra, M1
Menozzi, C1
Monducci, I1
Bertulla, A1
Abe, H2
Kobayashi, H2
Nakashima, Y2
Izumi, F2
Kuroiwa, A2
Grubb, BP1
Kosinski, D1
Samoil, D1
Pothoulakis, A1
Lorton, M1
Kip, K1
Sneddon, JF1
Scalia, G1
Ward, DE1
McKenna, WJ1
Camm, AJ1
Frenneaux, MP1
O'Marcaigh, AS1
MacLellan-Tobert, SG1
Porter, CJ1
López Candel, J1
Picó Aracil, F1
Sánchez Muñoz, JJ1
de la Morena, G1
Martínez Sánchez, J1
Salas, J1
Campos Peris, JV1
Ruiz Ros, JA1
García García, J1
Jaén Armand, E1
Müller, G1
Deal, BJ1
Strasburger, JF1
Benson, DW1
Sra, JS2
Jazayeri, MR3
Avitall, B3
Dhala, A1
Deshpande, S1
Blanck, Z1
Akhtar, M3
Jhamb, DK1
Singh, B1
Sharda, B1
Kaul, U1
Goel, P1
Talwar, KK1
Wasir, HS1
Pucciarelli, G1
De Vecchis, R1
Ebraio, F1
Corigliano, GG1
Hirata, K1
Takagi, Y1
Nakada, M1
Kyushima, M1
Asato, H1
Kluger, J1
Bazunga, M1
Goldman, R1
O'Rangers, E1
Azar, P1
Chow, MS1
Murthy, VS1
Shen, YH1
Troup, PJ1
Dangovian, MI1
Jarandilla, R1
Frumin, H1
Brodsky, M1
Doria, R1
Allen, B1
Sato, D1
Thomas, G1
Sada, M1
Shalev, Y1
Gal, R1
Tchou, PJ1
Anderson, AJ1
Kinney, RO1
Stäblein, A1
Huber, I1
von Scheidt, W1

Reviews

3 reviews available for metoprolol and Syncope

ArticleYear
Novel AKAP9 mutation and long QT syndrome in a patient with torsades des pointes.
    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2019, Volume: 56, Issue:2

    Topics: A Kinase Anchor Proteins; Aged, 80 and over; Cytoskeletal Proteins; Echocardiography, Doppler; Elect

2019
Hypertrophic obstructive cardiomyopathy with multiple coronary arteries to right ventricular microfistulas: a case report and review of the literature.
    Journal of medical case reports, 2017, Jan-31, Volume: 11, Issue:1

    Topics: Adult; Angina Pectoris; Anti-Arrhythmia Agents; Cardiomyopathy, Hypertrophic; Coronary Angiography;

2017
New-onset ventricular tachycardia during pregnancy.
    American heart journal, 1992, Volume: 123, Issue:4 Pt 1

    Topics: Echocardiography; Electrocardiography; Electrocardiography, Ambulatory; Exercise Test; Female; Follo

1992

Trials

6 trials available for metoprolol and Syncope

ArticleYear
Pacemaker current inhibition in experimental human cardiac sympathetic activation: a double-blind, randomized, crossover study.
    Clinical pharmacology and therapeutics, 2014, Volume: 95, Issue:6

    Topics: Adolescent; Adrenergic beta-Antagonists; Adrenergic Uptake Inhibitors; Adult; Benzazepines; Blood Pr

2014
Design and use of a quantitative scale for measuring presyncope.
    Journal of cardiovascular electrophysiology, 2009, Volume: 20, Issue:8

    Topics: Adult; Double-Blind Method; Evaluation Studies as Topic; Female; Follow-Up Studies; Humans; Male; Me

2009
Effects of beta-adrenergic blockade on vasodepressor reaction in patients with vasodepressor syncope.
    American heart journal, 1994, Volume: 128, Issue:5

    Topics: Epinephrine; Erythrocyte Membrane; Female; Humans; Isoproterenol; Male; Metoprolol; Middle Aged; Nor

1994
Comparative study of the efficacy of metoprolol and verapamil in patients with syncope and positive head-up tilt test response.
    American heart journal, 1996, Volume: 132, Issue:3

    Topics: Adolescent; Adult; Aged; Blood Pressure; Calcium Channel Blockers; Cross-Over Studies; Female; Heart

1996
[Vasovagal syncope and increased baroreceptor activity: evidence for increased sensibility of the baroreflex and its rapid reversal with acute administration of metoprolol].
    Cardiologia (Rome, Italy), 1997, Volume: 42, Issue:7

    Topics: Adult; Anti-Arrhythmia Agents; Baroreflex; Case-Control Studies; Female; Humans; Male; Metoprolol; M

1997
Usefulness of intravenous metoprolol to prevent syncope induced by head-up tilt.
    The American journal of cardiology, 1998, Sep-15, Volume: 82, Issue:6

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Blood Pressure Monitoring, Ambulatory; Double-Blind Method

1998

Other Studies

27 other studies available for metoprolol and Syncope

ArticleYear
Exertional Syncope in an Athlete: The Answer is in the History and Exam.
    Circulation. Cardiovascular imaging, 2020, Volume: 13, Issue:4

    Topics: Anti-Arrhythmia Agents; Anti-Inflammatory Agents; Athletes; Cardiomyopathy, Hypertrophic; Echocardio

2020
Wide Complex Ventricular Rhythm in a Patient After Collapse.
    JAMA internal medicine, 2017, 06-01, Volume: 177, Issue:6

    Topics: Aged, 80 and over; Antihypertensive Agents; Arrhythmias, Cardiac; Bradycardia; Electrocardiography;

2017
Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment.
    JAMA internal medicine, 2017, 06-01, Volume: 177, Issue:6

    Topics: Aged, 80 and over; Anti-Arrhythmia Agents; Antihypertensive Agents; Atorvastatin; Atrial Fibrillatio

2017
Inadvertent Left Ventricle Endocardial or Uncomplicated Right Ventricular Pacing: How to Differentiate in the Emergency Department.
    The Journal of emergency medicine, 2018, Volume: 54, Issue:5

    Topics: Aged; Anticoagulants; Antihypertensive Agents; Atrial Fibrillation; Cardiac Pacing, Artificial; Diag

2018
A delayed diagnosis of catecholaminergic polymorphic ventricular tachycardia with a mutant of RYR2 at c.7580T>G for 6 years in a 9-year-old child.
    Medicine, 2018, Volume: 97, Issue:16

    Topics: Amiodarone; Anti-Arrhythmia Agents; Child; Death, Sudden, Cardiac; Delayed Diagnosis; Electrocardiog

2018
A de novo novel cardiac ryanodine mutation (Ser4155Tyr) associated with catecholaminergic polymorphic ventricular tachycardia.
    Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2013, Volume: 18, Issue:6

    Topics: Adolescent; Anti-Arrhythmia Agents; Defibrillators, Implantable; Female; Flecainide; Follow-Up Studi

2013
Efficacy of different beta-blockers in the treatment of long QT syndrome.
    Journal of the American College of Cardiology, 2014, Sep-30, Volume: 64, Issue:13

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Atenolol; Child; Child, Preschool; Death, Sudden, Ca

2014
Secondly ECG recordings in the emergency room revealed Garenoxacin-induced abnormal QT interval prolongation in a patient with multiple syncopal attacks.
    Heart and vessels, 2016, Volume: 31, Issue:7

    Topics: Adrenergic Agonists; Adrenergic beta-1 Receptor Antagonists; Aged; Anti-Bacterial Agents; Electrocar

2016
Dobutamine infusion for unmasking long QT syndrome and torsades de pointes.
    Clinical cardiology, 2009, Volume: 32, Issue:6

    Topics: Adrenergic beta-Agonists; Anti-Arrhythmia Agents; Defibrillators, Implantable; DNA Mutational Analys

2009
Case records of the Massachusetts General Hospital. Case 26-2005. A 48-year-old man with sudden loss of consciousness while jogging.
    The New England journal of medicine, 2005, Aug-25, Volume: 353, Issue:8

    Topics: Anti-Arrhythmia Agents; Cardiomyopathy, Hypertrophic; Death, Sudden, Cardiac; Diagnosis, Differentia

2005
More reasons doing less in syncope patients.
    Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2006, Volume: 16, Issue:3

    Topics: Aged; Antihypertensive Agents; Carotid Sinus; Diterpenes; Female; Humans; Male; Massage; Metoprolol;

2006
Verapamil decreases ventricular tachyarrhythmias in a patient with Timothy syndrome (LQT8).
    Heart rhythm, 2006, Volume: 3, Issue:8

    Topics: Adrenergic beta-Antagonists; Adult; Calcium Channel Blockers; Combined Modality Therapy; Defibrillat

2006
Tolerability of beta-blockers metabolized via cytochrome P450 2D6 is sex-dependent.
    Clinical pharmacology and therapeutics, 2006, Volume: 80, Issue:5

    Topics: Adrenergic beta-Antagonists; Aged; Aged, 80 and over; Bradycardia; Cytochrome P-450 CYP2D6; Dose-Res

2006
[Influence of beta block and autonomic nerve block on the recovery time of the sinus node in sick sinus syndrome and carotid sinus syndrome].
    Giornale italiano di cardiologia, 1984, Volume: 14, Issue:10

    Topics: Adult; Aged; Atropine; Autonomic Nerve Block; Carotid Sinus; Female; Heart Rate; Humans; Male; Metop

1984
Plasma catecholamines and cyclic AMP response during head-up tilt test in patients with neurocardiogenic (vasodepressor) syncope.
    Pacing and clinical electrophysiology : PACE, 1995, Volume: 18, Issue:7

    Topics: Adrenergic beta-Agonists; Adrenergic beta-Antagonists; Adult; Aged; Blood Pressure; Catecholamines;

1995
Postpartum syncope.
    Pacing and clinical electrophysiology : PACE, 1995, Volume: 18, Issue:5 Pt 1

    Topics: 1-Naphthylamine; Administration, Oral; Adolescent; Adult; Diagnosis, Differential; Disopyramide; Dos

1995
Exercise induced vasodepressor syncope.
    British heart journal, 1994, Volume: 71, Issue:6

    Topics: Adolescent; Adult; Aged; Cardiac Output; Disopyramide; Exercise; Exercise Test; Female; Heart Rate;

1994
Tilt-table testing and oral metoprolol therapy in young patients with unexplained syncope.
    Pediatrics, 1994, Volume: 93, Issue:2

    Topics: Administration, Oral; Adolescent; Blood Pressure; Child; Female; Heart Rate; Humans; Isoproterenol;

1994
[Malignant vasovagal syncope: its diagnosis and therapeutic trial based on the orthostatism test (the tilt-table test)].
    Revista espanola de cardiologia, 1993, Volume: 46, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Child; Chronic Disease; Clonidine; Female; Heart Functio

1993
Usefulness of metoprolol for unexplained syncope and positive response to tilt testing in young persons.
    The American journal of cardiology, 1993, Mar-01, Volume: 71, Issue:7

    Topics: Administration, Oral; Adolescent; Adult; Child; Female; Follow-Up Studies; Humans; Injections, Intra

1993
Comparison of cardiac pacing with drug therapy in the treatment of neurocardiogenic (vasovagal) syncope with bradycardia or asystole.
    The New England journal of medicine, 1993, Apr-15, Volume: 328, Issue:15

    Topics: Adolescent; Adult; Aged; Bradycardia; Cardiac Pacing, Artificial; Disopyramide; Female; Follow-Up St

1993
Beat-to-beat variation of the ST segment in a patient with right bundle branch block, persistent ST segment elevation, and ventricular fibrillation: a case report.
    Angiology, 1998, Volume: 49, Issue:1

    Topics: Adult; Anti-Arrhythmia Agents; Bundle-Branch Block; Electric Countershock; Electrocardiography; Hear

1998
Use of intravenous esmolol to predict efficacy of oral beta-adrenergic blocker therapy in patients with neurocardiogenic syncope.
    Journal of the American College of Cardiology, 1992, Volume: 19, Issue:2

    Topics: Administration, Oral; Adrenergic beta-Antagonists; Female; Humans; Hypotension, Orthostatic; Isoprot

1992
Prolonged asystole during head-up tilt table testing after beta blockade.
    Pacing and clinical electrophysiology : PACE, 1992, Volume: 15, Issue:1

    Topics: Adrenergic beta-Antagonists; Adult; Bradycardia; Female; Heart Arrest; Humans; Hypotension, Orthosta

1992
Echocardiographic demonstration of decreased left ventricular dimensions and vigorous myocardial contraction during syncope induced by head-up tilt.
    Journal of the American College of Cardiology, 1991, Volume: 18, Issue:3

    Topics: Adult; Echocardiography; Female; Humans; Isoproterenol; Male; Metoprolol; Myocardial Contraction; Po

1991
Cardiac arrest in an on-call intern.
    Hospital practice (Office ed.), 1991, Feb-15, Volume: 26, Issue:2

    Topics: Adult; Heart Arrest; Humans; Hypotension, Orthostatic; Male; Metoprolol; Syncope

1991
[Life threatening syncope in a 69-year-old male: syndrome of hyperactive parasympathetic counter-regulation].
    Der Internist, 1990, Volume: 31, Issue:10

    Topics: Aged; Cardiomyopathy, Hypertrophic; Cerebral Hemorrhage; Hemodynamics; Homeostasis; Humans; Isoprote

1990