Management of older patients with unexplained, recurrent, traumatic syncope and bifascicular block: Implantable loop recorder versus empiric pacemaker implantation-Results of a propensity-matched analysis.

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Abstract

In patients with unexplained syncope and bifascicular block (BFB), syncope may be caused by intermittent atrioventricular (AV) block. When a correlation between syncope and bradyarrhythmia is not documented in these patients, 2 alternative management strategies can be adopted: (1) empiric pacemaker (PM) implantation or (2) long-term continuous electrocardiographic monitoring by implantable loop recorder (ILR).

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Author and article information

Journal

Journal ID (iso-abbrev): Heart Rhythm

Title: Heart rhythm

Publisher: Elsevier BV

ISSN (Electronic): 1556-3871

ISSN (Print): 1547-5271

Publication date (Electronic): Oct 2022

Volume: 19

Issue: 10

Affiliations

[1 ] Cardiology Unit, "Card. G. Panico" Hospital, Tricase (Le), Italy. Electronic address: dr.palmisano@libero.it.

[2 ] Cardiology and Arrhythmology Clinic, Marche Polytechnic University, University Hospital "Umberto I-Lancisi- Salesi", Ancona, Italy.

[3 ] Cardiology-Coronary Care Unit, Pugliese-Ciaccio Hospital, Catanzaro, Italy.

[4 ] Azienda Ospedaliera Universitaria "Maggiore della Carità", Novara, Italy.

[5 ] Cardiology Department, Policlinico Riuniti University Hospital, Foggia, Italy.

[6 ] Cardiology Division, Villa Scassi Hospital, Genova ASL 3, Genova, Italy.

[7 ] Cardiology Unit, San Giuseppe and Melorio Hospital, Santa Maria Capua Vetere, Caserta, Italy.

[8 ] Division of Cardiology, Castrovillari Hospital, Cosenza, Italy.

[9 ] Cardiology Unit, "Card. G. Panico" Hospital, Tricase (Le), Italy.

[10 ] Department of Translational Medicine, University of Eastern Piedmont, Maggiore della Carità Hospital, Novara, Italy.

[11 ] Department of Medical and Surgery Sciences, University of Foggia, Foggia, Italy.

[12 ] Dipartimento di Cardiologia, Università della Campania-L. Vanvitelli, Ospedale Monaldi, Napoli, Italy.

[13 ] Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.

Article

Publisher Item ID: S1547-5271(22)02037-9

DOI: 10.1016/j.hrthm.2022.05.023

PubMed ID: 35643299

SO-VID: 77bdd985-31b1-4462-b6df-9603168ff7c0

History

Keywords: Pacemaker,Unexplained syncope,Bifascicular block,Bradyarrhythmia,Empiric pacemaker implantation,Implantable loop recorder,Insertable cardiac monitor,Traumatic syncope

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Keywords: Pacemaker, Unexplained syncope, Bifascicular block, Bradyarrhythmia, Empiric pacemaker implantation, Implantable loop recorder, Insertable cardiac monitor, Traumatic syncope

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