• Medicina · Nov 2022

    Review

    Vasovagal Syncope during Office Hysteroscopy-A Frequently Overlooked Unpleasant Complication.

    • Suset Rodriguez, Sergio Haimovich, Salvatore Giovanni Vitale, Luis Alonso, and Jose Carugno.
    • Minimally Invasive Gynecology Unit, Obstetrics, Gynecology and Reproductive Sciences Department, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
    • Medicina (Kaunas). 2022 Nov 11; 58 (11).

    AbstractDue to technological advancements in miniaturization of instruments and improved optics, the number of office hysteroscopic procedures has increased over time. Office hysteroscopy is preferred due to avoidance of general anesthesia and decreased overall cost. Vasovagal syncope has been implied as the most common complication. Vasovagal syncope is associated with inappropriate reflex vasodilation and bradycardia in the setting of an acute malfunction between the autonomic nervous system and the cardiovascular system; however, there is no mortality associated with vasovagal syncope. A management strategy for acute vasovagal reflex during office hysteroscopy is proposed in order to manage this common complication.

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