Christian Paech, Franziska Wagner, Sebastian Mensch, Roman Antonin Gebauer
Congenital Heart Disease, Vol.13, No.6, pp. 1064-1068, 2018, DOI:10.1111/chd.12682
Abstract Introduction: Reflex vasovagal—or cardioinhibitory syncope is known to be a major
cause of recurrent syncope in children. The mechanism of vasovagal syncope (VVS) is
an interaction between a vagally mediated bradycardia or asystole and a more or less
manifest vasodilatory component. Although pacing is not advisable as a standard
approach in patients with VVS, it remains a treatment option of last resort in excep‐
tionally severe cases, or patients with contraindication or refractoriness to drug ther‐
apy and life style changes. To effectively avoid VVS in these patients, the pacemaker
has to both prevent bradycardia and to compensate for the… More >
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