Why the study?
Does cardiac pacing prevent syncope attacks in patients with syncope associated with pain as a presenting feature of neck malignancy?
Does cardiac pacing prevent syncope attacks in patients with syncope associated with pain as a presenting feature of neck malignancy?
Cardiac pacing may be ineffective in preventing syncope attacks associated with severe neck pain caused by undiagnosed neck malignancy.
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Pacing may not prevent syncope linked to neck malignancy pain; leaves open alternative mechanisms and non-pacing strategies.
Two patients are described in whom syncope was the presenting clinical feature of an undiagnosed neck malignancy. Both patients also had attacks associated with paroxysms of severe neck pain. Neither patient responded to cardiac pacing.
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Paul Worth (2005) studied this question.
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