TY  - JOUR
PY  - 2009//
TI  - Recurrent Falls: Pace Now or Wait for Another Fall?
JO  - Heart
A1  - Benditt, David G.
A1  - Ermis, Cengiz
SP  - 350
EP  - 352
VL  - 95
IS  - 5
N2  - In this issue of HEART, Parry et al (1) report results of a double-blind trial of pacing in elderly recurrent fallers with carotid sinus hypersensitivity (CSH). The so-called PERF-CSH trial utilized a cross-over design to determine whether dual-chamber cardiac pacing diminishes susceptibility to recurrent 'falls' in older CSH patients. Despite the encouraging findings with regard to pacing prevention of falls in the original SAFE-PACE findings, the current report indicates that pacing offers, at best, only marginal benefit. The outcome of PERF-CSH may seem to be a setback for our understanding of how to manage 'falls' in the elderly. However, the clinical problem that PERF-CSH addresses remains an important one, and the insight it provides will certainly prove valuable.  <p>Language: en</p>
LA  - en
SN  - 1355-6037
UR  - http://dx.doi.org/10.1136/hrt.2008.154948
ID  - ref1
ER  -