Neurokardiogene Synkopen bei Herzschrittmachertherapie

Keim, M; Momper, Rita; Heck, Kathryn; Braun, Benjamin; Hust, M. H.

doi:10.1055/s-2007-1024457

Cited by 5 publications

(2 citation statements)

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“…Keim et al. [18] reported a series of eight patients with pacemaker and recurrent syncope. In all patients, the tilt test was positive with 50% pure vasodepressor, 38% mixed and 12% cardioinhibitory responses, thus with a distribution of positive tests being somewhat similar to our results.…”

Section: Discussionmentioning

confidence: 99%

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Tilt-table testing of patients with pacemaker and recurrent syncope

Haarmark

Kanters

Mehlsen

2015

Indian Pacing and Electrophysiology Journal

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The diagnosis of recurrent syncope in patients with pacemakers (PM) is quite challenging and the etiology of syncope is often multifactorial. To portray the mechanism of syncope in PM patients, we report the results of head-up tilt table testing (HUT) in a series of patients with PM, originally implanted for reasons other than neurally mediated syncope, referred due to syncope or pre-syncope (aborted syncope, vertigo, suspected orthostatic hypotension).Forty-one patients with PM undergoing a HUT in our syncope unit between January 1st, 2007 and December 31st 2011 were included. A standard HUT protocol with nitroglycerine provocation was used and the test results were classified according to current guidelines. Baseline data were retrieved from the medical records.Overall, 54% of patients had a positive response to HUT. Vasodepressor or orthostatic hypotensive response were the most prevalent responses accounting for 72% of patients with a positive test. There were no differences between groups with positive or negative test result regarding age, gender, resting blood pressure and heart rate, daily fluid intake, pacing mode, pacing indication or pacing rhythm at rest.HUT in patients with pacemakers has a high diagnostic yield. Although, the majority of patients had a vasodepressor or orthostatic hypotensive response, cardioinhibitory response leading to syncope was also seen.

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Section: Discussionmentioning

confidence: 99%

“…A number of studies have suggested value of performing HUT in the evaluation of patients with PM and recurrent syncope [15] , [17] , [18] , [20] . In the INVASY and VASIS studies [7] , [10] , HUT preformed after PM implantation in a fraction of patients was not a predictor of clinical recurrence.…”

Section: Discussionmentioning

confidence: 99%