TY - JOUR T1 - DIlated inferior vena cava in young adults with vasovagal syncope AU - Styczynski G, Jaltuszewska M, Kosiorowska N, Kostrzewska M, Szmigielski C Y1 - 2009/09/28 N1 - 10.1001/archinternmed.2009.271 JO - Archives of Internal Medicine SP - 1633 EP - 1638 VL - 169 IS - 17 N2 - Vasovagal syncope is common in young adults, affecting up to 40% of subjects in this age group, with a female predominance.1 Its pathogenesis is not clear, but the main theory suggests a central role of the orthostatic venous pooling below the thorax, which leads to paradoxical activation of the cardio-neural inhibitory reflexes by the underfilled ventricles.2 We have occasionally seen dilated inferior vena cava (IVC) on echocardiograms of young patients with vasovagal syncope referred for cardiac evaluation. Since this observation could have pathophysiologic significance, we decided to design a study to measure the IVC diameter in a group of young adults with a history of vasovagal syncope. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2009.271 UR - http://dx.doi.org/10.1001/archinternmed.2009.271 ER -