Pacing for vasovagal syncope: Tips for use in practice

被引:4
|
作者
Morillo, Carlos A.
Brignole, Michele
机构
[1] Univ Calgary, Dept Cardiac Sci, Cumming Sch Med, Libin Cardiovasc Inst, Calgary, AB, Canada
[2] IRCCS Ist Auxol Italiano, Dept Cardiovasc Neural & Metab Sci, Faint & Fall Programme, Osped San Luca, Milan, MB, Italy
来源
AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL | 2022年 / 241卷
关键词
Cardio-inhibition; Head-up tilt; Pacing; Syncope; Vasovagal; CLOSED-LOOP STIMULATION; NEURALLY-MEDIATED SYNCOPE; CAROTID-SINUS SYNDROME; INTRACARDIAC IMPEDANCE; STANDARDIZED ALGORITHM; PACEMAKER THERAPY; REFLEX SYNCOPE; MULTICENTER; RECURRENCE; PREVENTION;
D O I
10.1016/j.autneu.2022.102998
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Vasovagal syncope (VVS) continues to be the most frequent cause of syncope in all age groups. Recent ran-domized double-blinded trials (RCTs) provide further support for pacing in selected cases of patients with recurrent refractory VVS with significant cardio-inhibitory response either documented spontaneously or induced during head-up tilt testing (HUTT). Cardiac pacing is the only therapy of proven efficacy for the pre -dominant cardio-inhibitory phenotype of vasovagal (reflex) syncope; however, several questions regarding the best candidates remain. The current review focuses on practical tips for use of cardiac pacing in practice.
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页数:6
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