December 1, 1987Journal of the American Geriatrics Society
Impact of Intracardiac Electrophysiologic Testing on the Management of Elderly Patients With Recurrent Syncope or Near Syncope
Key result
Invasive EP testing identifies a potential cause in ~68% of elderly patients with recurrent syncope.
- n=75
Why the study?
The etiology of recurrent syncope in elderly patients often remains unclear after noninvasive testing, necessitating evaluation of intracardiac electrophysiologic testing utility.
Population
75 patients aged 75 years and over with recurrent syncope of unclear etiology
Comparison
Patients before and after electrophysiologic testing and subsequent tailored treatment
Design
Observational study with invasive electrophysiologic testing
Follow-up
Mean 26 months
Authors
Discussion
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Implication
May support EP testing in elderly recurrent syncope; leaves open confirmation in randomized trials.
Study Design
Type
Observational (n=75)
PICO
P
Population
75 patients aged 75 years and older with recurrent syncope of unclear etiology, followed for a mean of 26 months.
E
Exposure / Comparator
Invasive electrophysiologic testing
O
Primary Outcome
Identification of a potential cause for syncope
Cite This Study
SUGRUE et al. (1987) conducted an observational in Recurrent syncope or near syncope (n=75). Invasive electrophysiologic testing was evaluated on Identification of a potential cause for syncope. Invasive electrophysiologic testing identified a potential cause in 68% of elderly patients with recurrent syncope, and targeted therapy prevented recurrence in 84% of treated patients.