The impact of a dedicated "syncope and falls" clinic on pacing practice in northeastern England.
This study examined whether the increased demand for pacemaker implants for carotid sinus syndrome (CSS) at the Regional Pacing Service in northeastern England was related to the establishment of a dedicated "syncope and falls" clinic or to the publication of NASPE and BPEG guidelines for pacing symptomatic bradycardia. To this end, pacemaker rates for various indications at this institution were compared with those of a comparable region (Liverpool), as well as with BPEG's national pacemaker database. Findings indicate a distinct impact of the Newcastle syncope and falls clinic on recognition and pacemaker treatment of CSS.
Dey
A B
AB
Cardiovascular Investigation Unit, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom.
Bexton
R S
RS
Tyman
M M
MM
Charles
R G
RG
Kenny
R A
RA
D000058:Accidental Falls / Q000517:prevention & control*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001919:Bradycardia / Q000517:prevention & control / Q000628:therapy; D002303:Cardiac Output, Low / Q000175:diagnosis / Q000517:prevention & control; D002304:Cardiac Pacing, Artificial / Q000706:statistics & numerical data; D002340:Carotid Artery Diseases / Q000628:therapy; D002346:Carotid Sinus / Q000503:physiopathology; D004739:England; D006301:Health Services Needs and Demand; D006801:Humans; D007256:Information Systems; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010138:Pacemaker, Artificial; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D013575:Syncope / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D019462:Syncope, Vasovagal / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D013577:Syndrome