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Previous Volume 329:969-970 September 23, 1993 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Sra et al. (April 15 issue)¹ found that in patients with neurocardiogenic syncope associated with bradycardia or asystole, drug therapy is often effective in preventing syncope, whereas artificial pacing is not. This study raises important questions about the methods used to diagnose vasovagal responses and evaluate treatment. The reported mean time of seven minutes from the onset of tilt testing to syncope is extremely short. We suggest that the heavily invasive instrumentation used in the study contributed to both the incidence and the early onset of syncope. Intravascular instrumentation has been shown to raise the incidence of . . . [Full Text of this Article]

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