Pacemaker implantation in a child with a 31-second cardiac arrest induced by tilt table test: a case report and literature review

doi:10.11817/j.issn.1673-9248.2024.05.014

Abstract

Abstract:

Currently， studies on the treatment of pediatric vasovagal syncope with pacemaker implantation are very limited. This article reports a case of a 7-year-old male child who experienced recurrent syncope. A tilt table test induced a prolonged cardiac arrest lasting up to 31 seconds. After through consultation with the family a pacemaker with closed loop stimulation function was implanted in the patient， and he was treated with Metoprolol Tartrate. Follow-up assessments showed significant treatment benefits，with no recurrence of syncope， and the tilt table test showing that the pacing function prevented a decrease in blood pressure and heart rate. This article also reviews and summarizes the literature from 1990 to 2024， encompassing 23 pediatric cases of vasovagal syncope treated with pacemakers， aiming to explore personalized diagnostic and treatment approaches for this patient population..

Key words: Children, Vasovagal syncope, Cardiac arrest, Pacemaker, Closed loop stimulation

Xiaosheng Chen, Jia He, Fang Liu, Rui Wu, Haitao Yang, Xiaohan Fan. Pacemaker implantation in a child with a 31-second cardiac arrest induced by tilt table test: a case report and literature review[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2024, 18(05): 488-494.

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References 15

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第一作者	患者编号	年龄（岁）	晕厥时长（s）	起搏模式（首次）	晕厥复发	起搏模式（调整）	晕厥复发（调整）
Paech等^［6］	1#	0.8	12	VVI基础频率110次/min，滞后频率70次/min	是	VVI基础频率110次/min，滞后频率50次/min	是
	2#	1.3	15.5	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	3#	4.9	11.2	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	4#	2.7	15	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	5#	7.1	13	VVI基础频率100次/min，滞后频率40次/min	否	-	-
	6#	17.0	12	VVI基础频率100次/min，滞后频率40次/min	是	VVI基础频率100次/min，滞后频率50次/min	否
	7#	1.3	15	VVI基础频率100次/min，滞后频率50次/min	是	VVI基础频率100次/min，滞后频率70次/min	否
	8#	1.8	21	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	9#	1.6	11	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	10#	3.9	15	VVI基础频率90次/min，滞后频率45次/min	是	VVI基础频率100次/min，滞后频率50次/min	否
	11#	7.8	14	VVI基础频率100次/min，滞后频率40次/min	否	-	-
Mcleod等^［7］	12#	4.1	16	退出研究	-	退出研究	-
	13#	2.1	32	VVI	否	DDD	否
	14#	8.5	22	VVI	否	DDD	否
	15#	5.1	10	VVI	否	DDD	否
	16#	3.1	10	VVI	否	DDD	否
	17#	2.8	40	VVI	否	DDD	否
	18#	2.6	19	VVI	否	DDD	否
	19#	2.4	26	VVI	是	DDD	是
	20#	2.0	22	VVI	否	DDD	否
	21#	3.2	18	VVI	否	DDD	是
	22#	14.7	28	VVI	否	DDD	否
	23#	2.1	25	VVI	否	DDD	否

第一作者	患者编号	年龄（岁）	晕厥时长（s）	起搏模式（首次）	晕厥复发	起搏模式（调整）	晕厥复发（调整）
Paech等^［6］	1#	0.8	12	VVI基础频率110次/min，滞后频率70次/min	是	VVI基础频率110次/min，滞后频率50次/min	是
	2#	1.3	15.5	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	3#	4.9	11.2	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	4#	2.7	15	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	5#	7.1	13	VVI基础频率100次/min，滞后频率40次/min	否	-	-
	6#	17.0	12	VVI基础频率100次/min，滞后频率40次/min	是	VVI基础频率100次/min，滞后频率50次/min	否
	7#	1.3	15	VVI基础频率100次/min，滞后频率50次/min	是	VVI基础频率100次/min，滞后频率70次/min	否
	8#	1.8	21	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	9#	1.6	11	VVI基础频率100次/min，滞后频率50次/min	否	-	-
	10#	3.9	15	VVI基础频率90次/min，滞后频率45次/min	是	VVI基础频率100次/min，滞后频率50次/min	否
	11#	7.8	14	VVI基础频率100次/min，滞后频率40次/min	否	-	-
Mcleod等^［7］	12#	4.1	16	退出研究	-	退出研究	-
	13#	2.1	32	VVI	否	DDD	否
	14#	8.5	22	VVI	否	DDD	否
	15#	5.1	10	VVI	否	DDD	否
	16#	3.1	10	VVI	否	DDD	否
	17#	2.8	40	VVI	否	DDD	否
	18#	2.6	19	VVI	否	DDD	否
	19#	2.4	26	VVI	是	DDD	是
	20#	2.0	22	VVI	否	DDD	否
	21#	3.2	18	VVI	否	DDD	是
	22#	14.7	28	VVI	否	DDD	否
	23#	2.1	25	VVI	否	DDD	否

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