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Cardiac pacing reduced non-accidental falls in older adults with cardioinhibitory carotid sinus hypersensitivity

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 QUESTION: In older adults with cardioinhibitory carotid sinus hypersensitivity (CSH) presenting with a non-accidental fall (defined as coming to rest on the ground or another lower level not because of an accident or known medical cause), does cardiac pacing reduce subsequent non-accidental falls?


Randomised (unclear allocation concealment*), unblinded,*controlled trial with 1 year of follow up.


A hospital in Newcastle upon Tyne, UK.


175 patients ≥ 50 years of age (mean age 73 y, 59% women) with cardioinhibitory CSH who reported to the emergency department because of a non-accidental fall. Exclusion criteria …

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  • Sources of funding: National Health Service Cardiovascular Research World Development Programme; Research into Ageing; Medtronic.

  • For correspondence: Professor R A Kenny, Royal Victoria Infirmary, Newcastle upon Tyne, UK. r.a.kenny{at}

  • * See glossary.