Reproducibility of tilt-table test result in patients with malignant neurocardiogenic syncope.

Abstract:

:The indication for permanent pacemaker remains controversial in malignant neurocardiogenic syncope. A highly reproducible prolonged pause during a repeat head-up tilt-table testing may identify a subgroup of neurally mediated syncope with a prominent and consistent cardioinhibitory component. Seven patients (3 females) with a mean age of 30 years (23-44 years) were diagnosed to have malignant neurocardiogenic -syncope; all are classified according to the Vasovagal Syncope International Study as 2B type, with observed sinus pauses ranged from 3 s to 26 s of which only 1 demonstrated a reproducible sinus pause. No recurrence of syncope was clinically observed in patients during the follow-up period. Of 6 patients treated non--pharmacologically, one required a beta-blocker and none required a permanent pacemaker. Prolonged asystole manifest during head-up tilt-table testing is a poorly reproducible phenomenon and permanent pacemaker implantation in malignant neurocardiogenic syncope should not be a first line therapy.

journal_name

Intern Med J

authors

Omar AR,Ng KS,Ng WL,Sutandar A

doi

10.1111/j.1444-0903.2004.00626.x

keywords:

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

504-6

issue

8

eissn

1444-0903

issn

1445-5994

pii

IMJ626

journal_volume

34

pub_type

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