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Cardiac Pacing for Prevention of Recurrent Vasovagal Syncope Ann Int Med 122:204-209, Benditt,D.G.,et al, 1995 See this aricle in Pubmed Article Abstract Pacing may be useful in selected patients with predominantly cardioinhibitory vasovagal responses.Pacing alone may eliminate symptoms in 25%of those patients and may prevent abrupt cardiovascular collapse in others(such as those in whom syncope occurs with minimal or no premonitory sensation).However,interpretation of most available reports has been limited both by the uncertainty associated with using the tilt-table technique to assess pacing effectiveness and by relatively short-term follow-up.The usefulness of cardiac pacing for patients with recurrent vasovagal syncope remains only partly understood.Randomized controlled trials are needed for this and other aspects of the treatment of this condition.Additionally,substantial room remains for innovation both in earlier recognition of imminent vasovagal syncope by implantable devices and in specifically designing cardiac pacing algorithms for treatment of this condition.

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