The role of cardiac pacing in carotid sinus syndrome: a meta-analysis

2014 ◽  
Vol 24 (3) ◽  
pp. 127-134
Author(s):  
Bing-Wei Chen ◽  
Zhi-Guang Wang ◽  
Na-Qiang Lv ◽  
Yan-Mei Cheng ◽  
Ai-Min Dang
1994 ◽  
Vol 127 (4) ◽  
pp. 1030-1037 ◽  
Author(s):  
James D. Maloney ◽  
Fredrick J. Jaeger ◽  
Carlos Rizo-Patron ◽  
Dennis W.X. Zhu

EP Europace ◽  
2010 ◽  
Vol 13 (4) ◽  
pp. 572-575 ◽  
Author(s):  
R. Lopes ◽  
A. Goncalves ◽  
J. Campos ◽  
C. Frutuoso ◽  
A. Silva ◽  
...  

1999 ◽  
Vol 83 (6) ◽  
pp. 974-977 ◽  
Author(s):  
Georges Leftheriotis ◽  
Jean-Marc Dupuis ◽  
Jacques Victor ◽  
Jean Louis Saumet

2017 ◽  
Vol 3 (10) ◽  
pp. S2
Author(s):  
M. Rafanelli ◽  
G. Rivasi ◽  
D. Solari ◽  
F. Tesi ◽  
A. Ceccofiglio ◽  
...  

2018 ◽  
Vol 266 ◽  
pp. 119-123 ◽  
Author(s):  
Giulia Rivasi ◽  
Diana Solari ◽  
Martina Rafanelli ◽  
Alice Ceccofiglio ◽  
Francesca Tesi ◽  
...  

2015 ◽  
Vol 143 (1-2) ◽  
pp. 23-27
Author(s):  
Nikola Radovanovic ◽  
Bratislav Kircanski ◽  
Sinisa Pavlovic ◽  
Srdjan Raspopovic ◽  
Velibor Jovanovic ◽  
...  

Introduction. Carotid sinus syndrome is characterized by a hypersensitive carotid sinus and syncope. Although we have clear guidelines for the diagnosis and treatment of carotid sinus syndrome, the efficacy of pacing therapy with this indication has not been the subject of many studies. Objective. This study aimed to assess the efficacy and safety of pacing therapy in the treatment of patients with carotid sinus syndrome and to determine the factors contributing to symptoms recurrence after pacemaker implantation. Methods. This study was retrospective and included 32 patients in whom a pacemaker was implanted due to carotid sinus syndrome at the Pacemaker Center, Clinical Center of Serbia, between April 2005 and April 2012. Carotid sinus massage and head-up tilt test (HUTT) were performed to select patients with cardioinhibitory and mixed type carotid sinus syndrome, who were enrolled to the study. Results. The mean age of patients was 65.6?11.5 years and 20 (62.5%) were men. The mean follow-up period was 4.3?1.9 years. HUTT was performed in 3 (9.4%) patients. Twenty-seven (84.4%) patients presented with cardioinhibitory and 5 (15.6%) with mixed type of carotid sinus syndrome. After pacemaker implantation, 22 (68.7%) patients had no further symptoms, 8 (25.0%) had syncope and 2 (6.3%) presyncope. The mixed type of the disease (HR 3.1; 95% CI 1.4-5.1; p=0.021) and implantation of pacemaker in VVI mode (HR 1.8; 95%CI 1.1-3.2; p=0.034) were independent predictors of symptoms recurrence. There were 3 (9.4%) perioperative surgical complications. Conclusion. Pacemaker therapy is an effective and safe treatment for patients with carotid sinus syndrome. As predictors of symptoms persistence after pacemaker implantation in our population, we identified the implantation of pacemaker in VVI mode and the mixed type of carotid sinus syndrome.


1983 ◽  
Vol 6 (6) ◽  
pp. 1224-1228 ◽  
Author(s):  
CHRISTOPHER A. MORLEY ◽  
E. JOHN PERRINS ◽  
SIEW LU CHAN ◽  
RICHARD SUTTON

2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.


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