Key result
Electroanatomic-mapping-guided cardioneuroablation successfully achieved 1:1 atrioventricular conduction in two patients with functional atrioventricular block.
Why the study?
Parasympathetic overactivity can cause functional atrioventricular block necessitating pacemaker implantation, but cardioneuroablation may offer a rational alternative when structural conduction damage is absent.
Population
Two patients with functional atrioventricular block
Comparison
Cardioneuroablation targeting main ganglionated plexi
Design
Review article with two illustrative cases
Authors
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May support avoiding pacemakers in selected functional AV block; leaves open need for prospective trials.
Case Report (n=2)
No
Cardioneuroablation may be a feasible and effective strategy to restore normal AV conduction and avoid pacemaker implantation in carefully selected patients with functional, vagally-mediated atrioventricular block.
Aksu et al. (2019) conducted a case report in Functional atrioventricular block (n=2). Cardioneuroablation (CNA) was evaluated on Achievement of 1:1 atrioventricular conduction. Electroanatomic-mapping-guided cardioneuroablation successfully achieved 1:1 atrioventricular conduction in two patients with functional atrioventricular block.
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