PACEMAKERS (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 103 PHYSIOLOGY/ DIAGNOSIS CERTIFICATION RE-CERTIFICATION FUNCTIONAL Hypersensitive carotid Excellent long-term No, with symptoms. sinus with syncope survival prognosis but there is risk for syncope that may be due to Yes if: Annual cardioinhibitory (slowing heart rate) or 3 months* after Documented regular vasodepressor (drop in pacemaker implantation; pacemaker checks; and blood pressure) and documented correct Absence of symptom components, or both. function by pacemaker recurrence Pacemaker will affect only center; Absence of cardioinhibitory symptom recurrence. component, but will lessen effect of vasodepressor component. *Three months recommended due to possible vasodepressor component of syndrome not necessarily treated by pacing.
PACEMAKERS (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 103 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Hypersensitive carotid sinus with syncope Excellent long-term survival prognosis but there is risk for syncope that may be due to cardioinhibitory (slowing heart rate) or vasodepressor (drop in blood pressure) components, or both. Pacemaker will affect only cardioinhibitory component, but will lessen effect of vasodepressor component. No, with symptoms. Yes if: 3 months* after pacemaker implantation; and documented correct function by pacemaker center; Absence of symptom recurrence. Annual Documented regular pacemaker checks; and Absence of symptom recurrence *Three months recommended due to possible vasodepressor component of syndrome not necessarily treated by pacing.
proposed-changes-medical-examiners-handbook.docx