[Long-term results of pacemaker therapy in hypersensitive carotid sinus syndrome]
Language: 
German
Abstract: 

131 patients received permanent pacemakers to treat their hypersensitive carotis sinus syndrome (HCSS). Prior to implantation, HCSS was diagnosed whenever spontaneous episodes of faintness or dizziness (n = 25) or syncope (n = 106) coincided with an abnormal response to carotis sinus massage (asystole greater than 3 s). 123 patients were followed for 48 +/- 27 months after implantation to assess the value of pacemaker therapy. 77% of all patients were free of initial symptoms. 90% of patients with syncope prior to pacemaker therapy were free of recurrence. Therefore, permanent pacing appears to be the treatment of choice for these patients. Since carotis sinus massage produced high-degree AV-block in at least 33% of patients, ventricular (rather than exclusive atrial) pacing seems to be mandatory. However, syncope did recur in 10% despite normal pacemaker function. The etiology of these recurrences remained unclear in almost all patients. As opposed to patients with syncope, cardiac pacing prevented symptoms in only 26% of patients with faintness or dizziness without full syncope. In these patients primary and sole pacemaker therapy does not appear to be appropriate.

Author(s): 
Waldecker, B.
Frees, U.
Brachmann, J.
Thorspecken, R.
Kübler, W.
Item Type: 
Journal Article
Publication Title: 
Zeitschrift Für Kardiologie
Journal Abbreviation: 
Z Kardiol
Publication Date: 
Jul 1989
Publication Year: 
1989
Pages: 
453-458
Volume: 
78
Issue: 
7
ISSN: 
0300-5860
Library Catalog: 
NCBI Published Medical (?)
Extra: 
PMID: 2672654

Turabian/Chicago Citation

B. Waldecker, U. Frees, J. Brachmann, R. Thorspecken and W. Kübler. Jul 1989. "[Long-term results of pacemaker therapy in hypersensitive carotid sinus syndrome]." Zeitschrift Für Kardiologie 78: 7: 453-458.

Wikipedia Citation

<ref> {{Cite journal | doi = | issn = 0300-5860 | volume = 78 | pages = 453-458 | last = Waldecker | first = B. | coauthors = Frees, U., Brachmann, J., Thorspecken, R., Kübler, W. | title = [Long-term results of pacemaker therapy in hypersensitive carotid sinus syndrome] | journal = Zeitschrift Für Kardiologie | date = Jul 1989 | pmid = | pmc = }} </ref>