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  • Title: The management of arrhythmic sincope.
    Author: Brembilla-Perrot B.
    Journal: Minerva Med; 2009 Jun; 100(3):195-211. PubMed ID: 19571784.
    Abstract:
    Arrhythmic syncope explains 5% to 20% of the causes of syncope and its incidence increases with age. In patients with arrhythmic syncope, a poor prognosis can be expected if syncope is misdiagnosed, particularly when arrhythmias occur in a patient with advanced heart disease. Arrhythmic causes are due either to bradycardia (diagnosed by surface electrocardiography, 24-hour Holter monitoring and electrophysiologic study in patients with bundle-branch block) or to supraventricular or ventricular tachycardia (diagnosed by electrophysiologic study and/or long-term event recording). Arrhythmic syncope can be easily prevented with antiarrhythmic drugs or, more frequently, with non-medical treatments such as radiofrequency ablation of tachycardia, and pacemaker or defibrillator implantation.
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