Recurrent syncope of unknown origin: value of permanent pacemaker insertion.
We studied the outcome of permanent pacing in those with a history suggestive of Stokes-Adams attacks but no electocardiographic evidence of bradyarrhythmia. Of 11 patients who fulfilled pre-defined inclusion criteria, over a mean follow-up period of 5.4 years, seven patients were free of symptoms and two were much improved following pacing. We suggest that in those with a clinical history of frequently recurrent Stokes-Adams attacks and a normal electrocardiogram, pacemaker insertion may be a reasonable course of action.
Birch Hill Hospital, Rochdale, UK.
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Fisher
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Cotter
D000219:Adams-Stokes Syndrome / Q000628:therapy; D000368:Aged; D000369:Aged, 80 and over; D001919:Bradycardia; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial; D012008:Recurrence; D012189:Retrospective Studies; D013575:Syncope / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome