Open AccessEffects of closed-loop stimulation vs. DDD pacing on haemodynamic variations and occurrence of syncope induced by head-up tilt test in older patients with refractory cardioinhibitory vasovagal syncope: the Tilt test-Induced REsponse in Closed-loop Stimulation multicentre, prospective, single blind, randomized study
Author(s) -
Pietro Palmisano,
Gabriele Dell’Era,
Vincenzo Russo,
Maria Zaccaria,
Rolando Mangia,
Miriam Bortnik,
Federica De Vecchi,
Ailia Giubertoni,
Fabiana Patti,
Andrea Magnani,
Gerardo Nigro,
Anna Rago,
Eraldo Occhetta,
Michele Accogli
Publication year - 2017
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eux015
Subject(s) - medicine , vasovagal syncope , cls upper limits , hemodynamics , cardiology , syncope (phonology) , blood pressure , anesthesia , heart rate , tilt table test , haemodynamic response , ophthalmology
Closed-loop stimulation (CLS) seemed promising in preventing the recurrence of vasovagal syncope (VVS) in patients with a cardioinhibitory response to head-up tilt test (HUTT) compared with conventional pacing. We hypothesized that the better results of this algorithm are due to its quick reaction in high-rate pacing delivered in the early phase of vasovagal reflex, which increase the cardiac output and the blood pressure preventing loss of consciousness.
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