This study examined whether the increased demand for pacemaker implant
s for carotid sinus syndrome (CSS) at the Regional Pacing Service in n
ortheastern England was related to the establishment of a dedicated ''
syncope and falls'' clinic or to the publication of NASPE and BPEG gui
delines for pacing symptomatic bradycardia. To this end, pacemaker rat
es for various indications at this institution were compared with thos
e of a comparable region (Liverpool), as well as with BPEG's national
pacemaker database. Findings indicate a distinct impact of the Newcast
le syncope and falls clinic on recognition and pacemaker treatment of
CSS.