Study detailsFactors determining treatmentNumber of CI patients and reason for pacemakerNumber of CI patients and reason for no pacemaker
Gatzoulis 200389
  • Symptoms
  • patients with cardioinhibitory (CI) response (asystole > 3 s or bradycardia < 40 bpm) considered for pacing
  • Probably biased
n=1 with CI response – patient offered and accepted pacemakern=2 with CI response:
Brignole 200637
  • IER test
  • median follow up 9 mo (IQR 3 to 17)
  • 103/392 had ECG during TLoC
  • CI: 60/392;
n=47 with CI response – patients offered and accepted pacemaker
Lagi 1991127
  • CSM test
  • mean follow up 11 mo (SD 8)
  • CI: 44/56
  • Symptoms
  • patients with CI response (asystole > 3 s or variation in cardiac rhythm), with or without decrease in bp
  • recurrent symptoms with ECG indication of heart disease
  • Probably biased

From: 6, Diagnostic tests to direct pacing therapy

Cover of Transient Loss of Consciousness (‘Blackouts’) Management in Adults and Young People
Transient Loss of Consciousness (‘Blackouts’) Management in Adults and Young People [Internet].
NICE Clinical Guidelines, No. 109.
National Clinical Guideline Centre for Acute and Chronic Conditions (UK).
Copyright © National Clinical Guideline Centre for Acute and Chronic Conditions, 2010.

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