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Comparative study of two types of pacing for the treatment of unexplained syncope (vasovagal syndrome)

Not Applicable
Completed
Conditions
Syncope (unknown origin)
Signs and Symptoms
Syncope and collapse
Registration Number
ISRCTN00029383
Lead Sponsor
Croix Rousse University Hospital (France)
Brief Summary

2012 results in https://pubmed.ncbi.nlm.nih.gov/22086879/ (added 29/12/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
80
Inclusion Criteria

1. Adult patients (greater than or equal to 18 years), agreeing to take part in the study and having signed the informed consent form
2. Patients having presented one or more episodes of syncope or pre-syncope unexplained by the usual screening tests: questionnaire, clinical examination, orthostatic hypotension investigation, biological tests, electrophysiological study (if necessary), echocardiogram (ECG), Holter, exercise test (optional), electroencephalogram (EEG) (optional), and brain scan (optional)
3. Negative sino-carotid massage (SCM)
4. Head-up tilt test conducted according to Appendix B protocol, whatever the result
5. Positive adenosine-5'-triphospate (ATP) test, confirmed by double reading by principal investigator

Exclusion Criteria

1. Syncope etiology revealed by usual screening testings
2. Positive SCM
3. Atrial or ventricular tachyarrhythmia
4. Defibrillator implanted (DAI)
5. Pacemaker previously implanted
6. Patient on waiting list for or having had heart transplantation
7. Sick sinus syndrome, brady-tachy syndrome
8. Atrial fibrillation, paroxysmal or permanent first and second-degree atrio-ventricular block, trifascicular block
9. Ongoing pregnancy. Women of childbearing age should be using reliable contraception.
10. Acute systemic infection or other surgical contra-indication for pacemaker implantation
11. Chronic obstructive bronchopneumopathy
12. Asthma
13. Diabetes

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Recurrence of syncope
Secondary Outcome Measures
NameTimeMethod
<br> 1. Duration of cardiac pause<br> 2. Reprogramming of pacemaker<br> 3. Recurrences after reprogramming<br>
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