?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Pacing+for+Vasovagal+Syncope&rft.creator=Wijesekera%2C+Nevin+T&rft.creator=Kurbaan%2C+Arvinder+S&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Vasovagal+syncope+is+a+common+condition%2C+usually+associated+with+a+benign+prognosis.+Most+sufferers+experience+only+occasional+symptoms%2C+and+can+be+treated+with+reassurance+and+lifestyle+advice.+However%2C+a+minority+of+patients+are+debilitated+by+frequent+fainting+that+can+infringe+on+daily+living%2C+or+even+mimic+sudden+death.+This+has+been+termed+%22malignant%22+vasovagal+syncope+because+of+the+associated+falls+and+physical+injury.+In+these+cases%2C+a+more+interventional+approach+may+be+appropriate.%0A++++++++++++Pharmacological+measures+have+been+the+mainstay+of+treatment+for+recurrent+vasovagal+syncope%3A+beta-blockers+(e.g.+atenolol)%2C+serotonin+reuptake+inhibitors+(e.g.+paroxetine)%2C+certain+vasoconstricting+drugs+(e.g.+midodrine)+and+fluid+retaining+agents+(e.g.+fludrocortisone)+have+been+of+particular+interest.+However%2C+there+is+only+mixed+support+from+randomised+controlled+trials+for+the+efficacy+of+these+agents+in+preventing+vasovagal+syncope.+1%2C2%2C3%0A++++++++++++In+the+last+few+years%2C+cardiac+pacing+has+been+advocated+for+the+treatment+of+some+forms+of+vasovagal+syncope.+This+article+reviews+the+literature+and+discusses+the+indications+for+pacing+in+vasovagal+syncope.+%0A&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2002-10&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4300%2F1%2Fkurbaan.htm&rft.identifier=++Wijesekera%2C+Nevin+T+and+Kurbaan%2C+Arvinder+S++(2002)+Pacing+for+Vasovagal+Syncope.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4300%2F