Selective cardioneuroablation of the posteromedial left ganglionated plexus for drug-resistant swallow syncope with functional atrioventricular block

Key Teaching Points•Although pacemaker implantation is a well-established therapy for swallow syncope, it is generally deemed inappropriate for young patients (aged 60 beats/min) at the time of functional AV block, minimal cardioneuroablation selectively targeting the posteromedial left GP may be sufficient to eliminate syncopal episodes. •Although pacemaker implantation is a well-established therapy for swallow syncope, it is generally deemed inappropriate for young patients (aged 60 beats/min) at the time of functional AV block, minimal cardioneuroablation selectively targeting the posteromedial left GP may be sufficient to eliminate syncopal episodes.