Do All Patients Who Faint Need A Pacemaker?

Question: Do all patients who faint need a pacemaker?

Answer :The majority of patients who have fainting episodes do not need pacemakers. That said, we need to make a distinction between the common faint or vasovagal reflex which tends to occur in young people without any heart problems. Those forms of fainting which are by far the most common when we count the total number of fainting episodes in the population do not generally need pacemakers, although occasional patients in those categories will need pacemakers. Those are treated with medical treatment and with fluid replacement and other therapies.

For patients who are fainting because their heart rate is slow due to disease in the electrical system of the heart, they very definitely do need pacemakers to support the heart rate. The biggest danger with fainting in that condition is not so much dying as a result of the mechanism of the fainting, but rather injuring oneself or others if you're driving a car.

So for people with structural heart disease, with abnormalities in the electrical system of the heart that are fainting because of that, yes they do need pacemakers. For people with common faints due to an exaggerated normal reflex, generally younger people, for the most part, they do not need pacemakers.

-- This embed didnt make it to copy for story id = 5245027.
Join the Discussion
blog comments powered by Disqus
You Might Also Like...
See It, Share It
PHOTO: Val Kilmer attends the 23rd annual Simply Shakespeare benefit reading of The Two Gentlemen of Verona at The Eli and Edythe Broad Stage, Sept. 25, 2013, in Santa Monica, Calif.
Jason LaVeris/FilmMagic/Getty Images
PHOTO: Bart, a cat in Tampa, was struck by a car, buried, and later re-appeared, injured but alive on his owners porch.
Courtesy Tampa Humane Society
Super Bowl XXXIV
Mike Zarrilli/Getty Images
PHOTO: Troy Bradley of New Mexico and Leonid Tiukhtyaev of Russia set off from Saga, Japan, shortly before 6:30 a.m. JST on Jan. 25, 2015.
Troy Bradley/Two Eagles Balloon Team via AP Photo