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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 46, 200, No. 12, p. 869 - 873 |
Treatment of Vasovalgal Syncope (Cardiostimulation Therapy) Mitro P. II. interná klinika Lekárskej fakulty UPJŠ, Košice, prednosta doc. MUDr. D. Trejbal, CSc. |
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Summary: Cardiostimulation in used less frequently than pharmacotheraphy in the treatment of vasovagal
syncope. It proves useful in treatment of vasovagal associated with bradycardia. Cardiostimulati-
on of both cavities is more effective than of one cavity. The optimal cardiostimulation algorithm
for treatment of vasovagal syncope which ensures an adequate start of cardiostimulation and has
an optimal effect on haemodynamic parameters is still sought. The rate drop response algorithm
seems promising. This algorithm was used so far only in one randomized study which was to
verify the effect of cardiostimulation in the treatment of vasovagal syncope - Vasovagal Pacema-
ker Study. The study proved a marked risk reduction of relapses of syncope in highly bradycar-
dia during the tilt test. The Vasovagal Pacemaker Study II with is under way at present compares
the effect cardiostimulation and placebo and the effect of cardiostimulation with the rate drop
response algorithm.
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