Syncope Due to Idiopathic Paroxysmal Atrioventricular Block

Brignole, Michele; Deharo, Jean‐Claude; Roy, Luc De; Menozzi, Carlo; Blommaert, Dominique; Dabiri, Lara; Ruf, Jean; Guieu, Régis

doi:10.1016/j.jacc.2010.12.045

Cited by 127 publications

(28 citation statements)

References 27 publications

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“…Cardiac pacing effectively prevents syncopal recurrences. 112,139,140 In a small multicenter trial performed on 80 selected elderly patients with unexplained syncope, dual-chamber cardiac pacing significantly reduced 2-year syncopal recurrence from 69% in the control group to 23% in the active group. 141 …”

Section: Section 3: Vasovagal Syncope Definitionmentioning

confidence: 99%

2015 Heart Rhythm Society Expert Consensus Statement on the Diagnosis and Treatment of Postural Tachycardia Syndrome, Inappropriate Sinus Tachycardia, and Vasovagal Syncope

et al. 2015

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Section: Section 3: Vasovagal Syncope Definitionmentioning

confidence: 99%

2015 Heart Rhythm Society Expert Consensus Statement on the Diagnosis and Treatment of Postural Tachycardia Syndrome, Inappropriate Sinus Tachycardia, and Vasovagal Syncope

et al. 2015

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“…Występuje on zwykle u pacjentów z długim wywiadem zasłabnięć, u których -poza bardzo niskim stężeniem adenozyny -nie stwierdza się innych nieprawidłowości. Skuteczność stymulacji wykazano w nielicznych, małych badaniach [65].…”

Section: Choroba Węzła Zatokowegounclassified

Podsumowanie wskazań do implantacji układów stymulujących serce

Załuska¹,

Bobruk

Grabowski

2019

Choroby Serca I Naczyń

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Nieprzerwany rozwój gamy dostępnych urządzeń do stałej stymulacji serca wymaga coraz precyzyjniejszej diagnostyki na etapie doboru właściwej metody stymulacji zależnie od schorzenia, objawów, skuteczności i ryzyka powikłań. Autorzy dokonują przeglądu obecnego stanu literatury oraz zalecań dla szczególnych grup pacjentów. W kontekście przedstawionych wyników i własnych doświadczeń autorzy wskazują mikrostymulatory jako urządzenia, które mogą być przyszłością stałej stymulacji serca.

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“…These patients will likely need cardiac pacing. 67,68 Young patients with VVS and asystole may have a specific trigger, may have rare episodes of syncope and may not benefit from pacing therapy. Thus, caution is advised with use of long-term pacing in individuals younger than 40 years, especially since living with a pacemaker at a young age can be difficult and can lead to long-term complications.…”

Section: Confounding Issuesmentioning

confidence: 99%

Pacing for Vasovagal Syncope

Gopinathannair

Salgado

Olshansky

2018

Arrhythmia &Amp; Electrophysiology Review

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Vasovagal syncope (VVS) is due to a common autonomic reflex involving the cardiovascular system. It is associated with bradycardia (cardioinhibitory response) and/or hypotension (vasodepressor response), likely mediated by parasympathetic activation and sympathetic inhibition. While generally a situational, isolated and/or self-limited event, for some, VVS is recurrent, unpredictable and debilitating. Conservative, non-pharmacological management may help, but no specific medical therapy has been proven widely effective. Permanent pacing may have specific benefit, but its value has been debated. The temporal causative association of bradycardia with syncope in those with VVS may help identify which patient could benefit from pacing but the timing and type of pacing in lieu of blood pressure changes may be critical. The mode, rate, pacing algorithm and time to initiate dual-chamber pacing preferentially with respect to the vasovagal reflex may be important to prevent or ameliorate the faint but completely convincing data are not yet available. Based on available data, DDD pacing with the closed loop stimulation algorithm appears a viable, if not the best, alternative presently to prevent recurrent VVS episodes. While several knowledge gaps remain, permanent pacing appears to have a role in managing select patients with VVS.

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Syncope Due to Idiopathic Paroxysmal Atrioventricular Block

Abstract: Common clinical and electrophysiological features define a distinct form of syncope due to idiopathic paroxysmal AV block characterized by a long history of recurrent syncope, absence of progression to persistent forms of AV block, and efficacy of cardiac pacing therapy.

Cited by 127 publications

References 27 publications

2015 Heart Rhythm Society Expert Consensus Statement on the Diagnosis and Treatment of Postural Tachycardia Syndrome, Inappropriate Sinus Tachycardia, and Vasovagal Syncope

2015 Heart Rhythm Society Expert Consensus Statement on the Diagnosis and Treatment of Postural Tachycardia Syndrome, Inappropriate Sinus Tachycardia, and Vasovagal Syncope

Podsumowanie wskazań do implantacji układów stymulujących serce

Pacing for Vasovagal Syncope

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