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Pacing for vasovagal syncope
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  • Published on:
    Re: Pacing for vasovagal syncope

    Dear Editor,

    We share many of the reservations that Morley-Davies and Byrne have regarding the North American Vasovagal Pacemaker Study (VPS).[1] However, this study should be considered in the context of the other available data supporting the role of pacing in selected patients. We also are interested in the study by Di Girolamo et al[2] suggesting a benefit for orthostatic training in those with neurocardio...

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    Conflict of Interest:
    None declared.
  • Published on:
    Pacing for vasovagal syncope

    Dear Editor

    Kurbaan and Sutton provide a balanced view of the role of pacing in vasovagal syncope[1] - a common but complex and challenging medical condition.

    However, we feel that attention should be drawn to the methodological problems that bedevil interpretation of the North American Vasovagal Pacemaker Study (VPS).[2] This was not a randomised study of cardiac pacing, but rather a randomised trial...

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    Conflict of Interest:
    None declared.