Pacing for Vasovagal Syncope
Author Information
Author(s): Wijesekera Nevin T, Kurbaan Arvinder S
Primary Institution: Kingston Hospital, Surrey, UK; London Chest Hospital, London, UK
Hypothesis
Can cardiac pacing effectively treat patients with recurrent vasovagal syncope?
Conclusion
Pacing can prevent or delay fainting in selected patients with medically refractory vasovagal syncope.
Supporting Evidence
- Pacing has been accepted as a treatment for selected patients with vasovagal syncope since the early 1990s.
- Studies show that after insertion of a permanent pacemaker, most patients either no longer had syncope or had far fewer episodes.
- Randomised studies indicate a significant reduction in the time to first recurrence of syncope with pacing compared to medical therapy.
Takeaway
Some people faint a lot because of a condition called vasovagal syncope, and using a special device called a pacemaker can help them feel better.
Methodology
The article reviews literature and discusses various studies on the efficacy of pacing in treating vasovagal syncope.
Potential Biases
The open-label nature of the studies may lead to a placebo effect.
Limitations
The studies reviewed were mostly non-randomised and open-label, which may introduce bias.
Participant Demographics
Patients with recurrent vasovagal syncope, including both younger and older populations.
Statistical Information
P-Value
P=0.0002
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