Low incidence of arrhythmic syncope and pacemaker implantation in older patients with bifascicular block and implantable cardiac monitor

Fumagalli, Carlo; Rafanelli, Martina; Brignole, Michele; Guarducci, Caterina; Bettoni, Niccolò; Rivasi, Giulia; Pieragnoli, Paolo; Ricciardi, Giuseppe; Checchi, Luca; Gambardella, Marco; Casolaro, Flavia; Paolisso, Giuseppe; Marfella, Raffaele; Signoriello, Giuseppe; Marchionni, Niccolò; Ungar, Andrea; Sardu, Celestino

doi:10.1016/j.ijcard.2022.10.171

In patients with unexplained syncope, bifascicular block (BFB) is considered associated with syncope due to either heart block or sinus arrest. Immediate or delayed pacemaker (PM) implantation after ECG documentation of syncopal recurrence by means of implantable cardiac monitors (ICM) is still debated. We aimed to assess the incidence of recurrent syncope and guideline-based PM implantation in patients with syncope and BFB implanted with ICM.

Low incidence of arrhythmic syncope and pacemaker implantation in older patients with bifascicular block and implantable cardiac monitor / Fumagalli, Carlo; Rafanelli, Martina; Brignole, Michele; Guarducci, Caterina; Bettoni, Niccolò; Rivasi, Giulia; Pieragnoli, Paolo; Ricciardi, Giuseppe; Checchi, Luca; Gambardella, Marco; Casolaro, Flavia; Paolisso, Giuseppe; Marfella, Raffaele; Signoriello, Giuseppe; Marchionni, Niccolò; Ungar, Andrea; Sardu, Celestino. - In: INTERNATIONAL JOURNAL OF CARDIOLOGY. - ISSN 1874-1754. - ELETTRONICO. - (2022), pp. 1-4. [10.1016/j.ijcard.2022.10.171]