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January 1, 2016Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of CardiologyOpen Access

Cardioneuroablation in the treatment of neurally mediated reflex syncope: a review of the current literature

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Why the study?

Does cardioneuroablation prevent syncope in patients with neurally mediated reflex syncope?

Population

Patients with neurally mediated reflex syncope (NMRS)

Design

Systematic_review

Authors

TATolga AksuElectrophysiology

Discussion

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Implication

Cardioneuroablation may offer alternative to pacing in selected reflex syncope; leaves open confirmation in randomized trials.

Structured PICO

Does cardioneuroablation prevent syncope in patients with neurally mediated reflex syncope?

P
Population
Patients with neurally mediated reflex syncope (NMRS)
I
Intervention
Cardioneuroablation (CNA) via radiofrequency ablation of vagal ganglia
O
Outcome
Freedom from syncope and freedom from prodromehard clinical

Cardioneuroablation appears to be a highly effective and safe potential alternative to pacemaker implantation for carefully selected patients with neurally mediated reflex syncope, though randomized trials are needed.

Limitations

  • Lack of large-scale, randomized, controlled trials

Cite This Study

Tolga Aksu (2016) studied this question.

synapsesocial.com/papers/6a7f67f811d2ce75ff8b1fb7https://doi.org/10.5543/tkda.2016.55250
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Selective Atrial Vagal Denervation Guided by Evoked Vagal Reflex to Treat Patients With Paroxysmal Atrial Fibrillation2006 · 285 citations
  2. 2A new treatment for atrial fibrillation based on spectral analysis to guide the catheter RF-ablation2004 · 209 citations
  3. 3“Cardioneuroablation” – new treatment for neurocardiogenic syncope, functional AV block and sinus dysfunction using catheter RF-ablation2005 · 354 citations
  4. 4Endocardial Autonomic Denervation of the Left Atrium to Treat Vasovagal Syncope2012 · 155 citations
  5. 5Functional permanent 2:1 atrioventricular block treated with cardioneuroablation: Case report2015 · 24 citations