Key result
Leadless pacemaker implantation manages cardioinhibitory vasovagal syncope in a teen to improve compliance.
Why the study?
Patients with frequent and traumatic cardioinhibitory vasovagal syncope episodes need treatment to improve quality of life.
Case Report (n=1)
Leadless pacing can be utilized in young patients with cardioinhibitory vasovagal syncope to manage prolonged pauses while improving patient compliance.
May support leadless pacing feasibility in select adolescents with vasovagal syncope; leaves open long-term safety and efficacy questions.
Vasovagal syncope is characterized by vasodilatation and/or bradycardia and thereby a fall in arterial BP and global cerebral perfusion in response to a trigger. Although it is a benign condition, patients with frequent and traumatic episodes need treatment in order to improve quality of life. We describe the case of a 17-years-old boy suffering from cardioinhibitory syncope. At the end of a complete negative cardiac and neurological examination, a loop recorder was implanted. During the subsequent follow-up the ILR documented a 9-s pause. To improve the patient's compliance, and considering cardioinhibitory syncope as a temporary condition, a leadless pacemaker was eventually implanted.
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Regibus et al. (2017) conducted a case report in Cardioinhibitory vasovagal syncope (n=1). Leadless pacemaker was evaluated. A leadless pacemaker was implanted in a 17-year-old boy with cardioinhibitory vasovagal syncope and a documented 9-second pause to improve compliance.
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