Editorial
Pacing for vasovagal syncope
| The first 150 words of the full text of this article appear below. |
In most cases vasovagal syncope is an infrequent event that only merits reassurance. However, in a few patients the symptoms can be debilitating, resulting in actual physical injury or considerable infringement of daily living and work. In these cases, a more interventional approach may be appropriate.
Evidence for the efficacy of pacingThe vasovagal response is a notable but transient dysfunction of
the autonomic nervous system. The most readily quantitative responses
are vasodepression (arterial blood pressure fall) and cardioinhibition
(heart rate fall). Cardiac pacing offers the possibility specifically
to target the latter. Evidence to support the use of pacing in this
setting has recently gained additional weight with the publication of
the vasovagal pacemaker study.1 Patients with recurrent
episodes of vasovagal syncope (more than six each year) were randomised
to receive or not receive a permanent dual chamber pacemaker. This
important study indicated a clear benefit for pacing in those
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This article has been cited by other articles:
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Johansen, J. B., Bexton, R. S., Simonsen, E. H., Markowitz, T., Erickson, M. K.
(2000). Clinical experience of a new rate drop response algorithm in the treatment of vasovagal and carotid sinus syncope. Europace
2: 245-250
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- Pacing for vasovagal syncope
- Adrian Morley-Davies
- Online, 8 Jun 2000 [Full text]
- Re: Pacing for vasovagal syncope
- AS Kurbaan
- Online, 8 Jun 2000 [Full text]
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