June 16, 2020EP Europace
Recurrent syncope in paced patients, hitherto ignored?
Key result
Permanent pacing for syncope prevention is associated with appreciable recurrence rates, highlighting the need to correlate bradyarrhythmia with syncope before device implantation.
Population
Patients treated with permanent pacing for bradyarrhythmic syncope, including reflex syncope and…
Design
Editorial
Authors
Discussion
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Implication
Recurrent syncope remains a significant issue in patients paced for reflex syncope, necessitating strict adherence to guideline-directed patient selection and reduction of hypotensive medications.
Structured PICO
P
Population
Patients treated with permanent pacing for bradyarrhythmic syncope, including reflex syncope and atrioventricular block
I
Intervention
Permanent cardiac pacing
O
Outcome
Recurrent syncope
Recurrent syncope remains a significant issue in patients paced for reflex syncope, necessitating strict adherence to guideline-directed patient selection and reduction of hypotensive medications.
Limitations
- The discussed study included largely undiagnosed syncope in frail patients, incomplete use of ILR, incomplete follow-up, lacked pacemaker details, and was not truly prospective.
- Group C largely undiagnosed syncope in generally frail patients
- Incomplete use of implantable loop recorders (ILR)
- Incomplete follow-up
- No available details of the pacemakers and their programmes
- Protocol was not truly prospective (retrieved follow-up data from 2010-2013)
Cite This Study
Sutton et al. (2020) conducted an editorial in Recurrent syncope in paced patients. Permanent pacing was evaluated. Permanent pacing for syncope prevention is associated with appreciable recurrence rates, highlighting the need to correlate bradyarrhythmia with syncope before device implantation.