Most ebook files are in PDF format, so you can easily read them using various software such as Foxit Reader or directly on the Google Chrome browser.
Some ebook files are released by publishers in other formats such as .awz, .mobi, .epub, .fb2, etc. You may need to install specific software to read these formats on mobile/PC, such as Calibre.
Please read the tutorial at this link. https://ebooknice.com/page/post?id=faq
We offer FREE conversion to the popular formats you request; however, this may take some time. Therefore, right after payment, please email us, and we will try to provide the service as quickly as possible.
For some exceptional file formats or broken links (if any), please refrain from opening any disputes. Instead, email us first, and we will try to assist within a maximum of 6 hours.
EbookNice Team
Status:
Available4.6
5 reviewsBACKGROUND Vasovagal syncope (VVS) is a common yet challenging condition with limited effective treatments.Elastic compression stockings (ECS) have been proposed as a potential therapy, but their real-world effectivenessremains unclear.OBJECTIVES This study sought to compare the effectiveness of lower extremity compression with thigh-high ECS vssham stockings for the prevention of VVS recurrence.METHODS This multicenter, parallel, blinded, randomized sham-controlled trial enrolled adults 18 to 65 years of agewith $2 VVS episodes in the past year. Participants were randomized 1:1 to receive either thigh-length, open-toe activeECS (25-30 mm Hg pressure to the leg), or identical-looking sham ECS (#10 mm Hg pressure). All participants receivedstandard care (education and lifestyle modifications) but no medications for preventing VVS recurrence. ECS adherencewas tracked using diary booklets. The coprimary outcomes were: 1) the proportion of participants with $1 VVS recurrence; and 2) the time to first VVS recurrence (ie, VVS-free survival).RESULTS Among 266 participants (mean age 39 years, 58% female), during 12 months of follow-up, VVS recurred in29.1% (n ¼ 39 of 134) of participants in the treatment group and 34.8% (n ¼ 46 of 132) in the control group (absoluterisk reduction: 5.7%; P ¼ 0.315). VVS-free survival was not significantly different (HR: 0.81; 95% CI: 0.53-1.24;P ¼ 0.333). ECS adherence was suboptimal, with discontinuation rates of 37.3% in the treatment arm vs 34.8% in thesham arm. Discontinuation rates, duration of using ECS, and adherence rates were similar between treatment groups. Themedian number of recurrent episodes was similar (treatment: 2.5 vs sham: 2; P ¼ 0.839). However, significantly fewerVVS episodes occurred while actively wearing ECS (32.7% vs 45.1%; P ¼ 0.024).CONCLUSIONS Treating syncope with thigh-high lower limb compression using ECS did not r