Key result
Cardiac pacing may benefit older severe vasovagal syncope patients, yielding 5% recurrence with negative tilt tests.
Why the study?
Does cardiac pacing prevent syncope recurrence in patients with severe vasovagal syncope?
Population
Patients with severe vasovagal syncope
Design
Review
Authors
Loading...
Supports selective pacing in older patients with negative tilt tests; leaves open optimal selection criteria for broader use.
Does cardiac pacing prevent syncope recurrence in patients with severe vasovagal syncope?
Cardiac pacing for severe vasovagal syncope should be reserved for older patients with severe symptoms and ideally negative tilt tests, using dual chamber pacing.
Richard Sutton (2017) conducted a review in Vasovagal syncope. Cardiac pacing vs. No therapy or device switched off was evaluated. Cardiac pacing for severe vasovagal syncope may benefit older patients, particularly those with negative tilt tests who demonstrated a 5% recurrence rate at 21 months (P<0.004).