Why the study?
Does cardiac tachypacing at 100 paces/min improve upright blood pressure drop and prevent syncope in patients with severe orthostatic hypotension and implanted pacemakers?
Does cardiac tachypacing at 100 paces/min improve upright blood pressure drop and prevent syncope in patients with severe orthostatic hypotension and implanted pacemakers?
Cardiac tachypacing at 100 paces/min may serve as a useful therapeutic option for patients with severe refractory orthostatic hypotension, particularly those with chronotropic incompetence.
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Tachypacing merits evaluation for refractory orthostatic hypotension in paced patients; hypothesis-generating from Level 5 evidence and should not yet change practice.
Abe et al. (2000) studied this question.