Key result
Pharmacological treatment for prolonged tilt-induced asystole provides symptom control without major events.
Population
4 patients with vasovagal syncope who experienced prolonged asystole during head-up tilt testing
Design
Case_series
Authors
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Case series suggests pharmacological therapy may suffice for tilt-induced asystole; leaves open optimal patient selection for pacing.
Case Report (n=4)
Conservative pharmacological management is a viable initial strategy for patients with prolonged asystole during head-up tilt testing, with pacemakers reserved for refractory cases.
Pentousis et al. (1997) conducted a case report in Vasovagal syncope with prolonged asystole during head up tilt test (n=4). Pharmacological treatment was evaluated on Major events and symptom control. Pharmacological treatment in four patients with prolonged asystole during head-up tilt testing resulted in freedom from major events and well-controlled symptoms during follow-up.
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