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The impact of a dedicated "syncope and falls" clinic on pacing practice in northeastern England

A B Dey1, R S Bexton, M M Tyman

  • 1Cardiovascular Investigation Unit, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom.

Pacing and Clinical Electrophysiology : PACE
|March 1, 1997
PubMed

Insights

A dedicated syncope and falls clinic in Newcastle significantly increased pacemaker implants for carotid sinus syndrome (CSS). This finding highlights the clinic's impact on recognizing and treating CSS.

Area of Science:

  • Cardiology
  • Neurology

Background:

  • Carotid sinus syndrome (CSS) is a common cause of syncope in older adults.
  • Pacemaker implantation is a recognized treatment for symptomatic CSS.

Purpose of the Study:

  • To investigate factors influencing increased pacemaker implantation rates for CSS.
  • To determine the impact of a dedicated syncope and falls clinic on CSS diagnosis and treatment.

Main Methods:

  • Comparative analysis of pacemaker implantation rates for CSS.
  • Comparison between a regional pacing service, a comparable region, and national data.
  • Evaluation of the influence of a "syncope and falls" clinic and published guidelines.

Main Results:

  • A notable increase in pacemaker implants for CSS was observed.
  • The establishment of the "syncope and falls" clinic correlated with this rise.
  • No clear link was found between guideline publication and the increased demand.

Conclusions:

  • The dedicated syncope and falls clinic played a significant role in the increased recognition and pacemaker treatment of CSS.
  • Specialized clinics can improve the management of conditions like CSS.

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