December 1, 1990Pacing and Clinical Electrophysiology
Pacing for Carotid Sinus Syndrome and Sick Sinus Syndrome
Why the study?
What are the clinical differences between patients receiving pacemakers for carotid sinus syndrome versus sick sinus syndrome?
Population
298 consecutive patients receiving a pacemaker implant for atrial bradyarrhythmias
Comparison
Pacemaker implantation for carotid sinus syndrome vs Pacemaker implantation for sick sinus syndrome
Design
Cohort
Authors
Discussion
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Member takes
Implication
Suggests syndrome-specific evaluation in pacemaker candidates; leaves open effects on outcomes or device choice.
Structured PICO
What are the clinical differences between patients receiving pacemakers for carotid sinus syndrome versus sick sinus syndrome?
P
Population
298 consecutive patients receiving a pacemaker implant for atrial bradyarrhythmias
I
Intervention
Pacemaker implantation for carotid sinus syndrome (CSS)
C
Comparator
Pacemaker implantation for sick sinus syndrome (SSS)
O
Outcome
Incidence of pacemaker implants and clinical characteristics
Carotid sinus syndrome is as frequent an indication for cardiac pacing as sick sinus syndrome, but presents with distinct clinical characteristics such as higher syncope rates and fewer associated cardiac diseases.
Cite This Study
Brignole et al. (1990) studied this question.