Sincope neuromediata e inforfuni sul lavoro: Strategie preventive e considerazioni su un caso clinico

Translated title of the contribution: Nevraux-mediated syncope and occupational accidents: Prevention strategies and case report

G. L. Rosso, M. Feola, L. Morena, E. Menardi, E. Racca, A. Vado, G. Rossetti, E. Peano, S. M. Candura

Research output: Contribution to journalArticle

Abstract

A bus driver came to our observation after an occupational traffic accident due to a syncopal event. The positive result of the tilt testing demonstrated the neurally-mediated nature of the syncope. The accident involved approximately 40 people (all the bus passengers), fortunately without severe injuries or deaths. The described episode indicates the need for a procedural algorithm, commonly approved, applicable in the field of prevention, for those occupational categories with severe accident risk. Indeed, the possibility exists to identify at least a part of the subjects predisposed to neurally-mediated syncope. Fundamental steps for such screening are history taking (looking for previous events, familiarity), the physical examination (useful, for example, to exclude orthostatic hypotension or carotid sinus syncope), and, in particular, the tilt testing, a diagnostic investigation reccomended for all the workers who have had a previous syncope and are at high occupational accident risk. Moreover, the reported case recalls the need to strengthen the collaboration between the cardiologist and the occupational health physician.

Translated title of the contributionNevraux-mediated syncope and occupational accidents: Prevention strategies and case report
Original languageItalian
Pages (from-to)166-169
Number of pages4
JournalGiornale Italiano di Medicina del Lavoro ed Ergonomia
Volume29
Issue number2
Publication statusPublished - Apr 2007

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Rehabilitation

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    Rosso, G. L., Feola, M., Morena, L., Menardi, E., Racca, E., Vado, A., Rossetti, G., Peano, E., & Candura, S. M. (2007). Sincope neuromediata e inforfuni sul lavoro: Strategie preventive e considerazioni su un caso clinico. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 29(2), 166-169.