• Pacing Clin Electrophysiol · Jul 1998

    Case Reports

    Treatment of malignant neurocardiogenic vasovagal syncope with a rate drop algorithm in dual chamber cardiac pacing.

    • H Abe, Y Iwami, T Nagatomo, Y Miura, and Y Nakashima.
    • Second Department of Internal Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
    • Pacing Clin Electrophysiol. 1998 Jul 1; 21 (7): 1473-5.

    AbstractA 29-year-old man with malignant vasovagal syncope presented with episodes of abrupt loss of consciousness associated with an aura, totaling more than 10 episodes over 3 months. Holter monitoring showed cardiac arrest with a duration of 15 seconds. Oral propranolol and disopyramide therapy failed to prevent the syncope. A dual chamber pacemaker with a rate drop response algorithm successfully prevented the syncope but not the aura. There may be multifactors involved in the mechanism of this syndrome. The patient has returned to a normal active life. This rate drop algorithm is an effective therapy for the prevention of syncope in malignant vasovagal syncope.

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