Why the study?
Recurrent syncope with injuries, short prodromal symptoms, and significant cardiodepression represents a major clinical challenge where cardiac pacing may be used.
Does implantation of a cardiac pacemaker improve outcomes in patients with recurrent vasovagal syncope with significant cardiodepressive response?
Does implantation of a cardiac pacemaker improve outcomes in patients with recurrent vasovagal syncope with significant cardiodepressive response?
This review summarizes current knowledge and recommendations regarding cardiac pacemaker implantation for patients with severe, recurrent vasovagal syncope.
Evidence on pacemakers for recurrent reflex syncope remains limited; leaves open optimal patient selection and need for randomized trials.
Reflex syncope is among the most commonly encountered in the clinical practice. Most of these events are mild and do not require major therapeutic interventions. The major problem is recurrent syncope with injuries and a short prodromal symptom phase, usually related to a significant cardiodepressive response. One treatment method is implantation of a cardiac pacemaker. The aim of this article is to present the current knowledge on this subject.
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Chmielecka et al. (2021) studied this question.
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