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Cardioneuroablation for reflex syncope or functional bradyarrhytmias: new insight from a single center experience.
Front Cardiovasc Med
January 2025
Department of Cardiology, General Regional Hospital "F. Miulli", Bari, Italy.
Background: Cardioneuroablation (CNA) is a new approach to treat reflex syncope and functional bradyarrhytmias caused by autonomic imbalance. We report our experience using CNA.
Method: From September 2022 to July 2023, we took care of 21 patients (mean age 42 ± 21 years; 62% male) affected by reflex syncope or functional bradyarrhythmias.
Differential and synergistic effects of right and left atrial ganglionated plexi ablation in patients undergoing cardioneuroablation: results from the ELEGANCE multicenter study.
J Interv Card Electrophysiol
December 2024
Arrhythmia Department, Teknon Heart Institute, Teknon Medical Center, Barcelona, Spain.
Background: Cardioneuroablation (CNA) treats reflex syncope by ablating ganglionated plexi (GPs) either confined to the right (RA) or left atrium (LA), or accessible from both. We assessed whether GP ablation in one atrium affects parasympathetic modulation in the other and how ablation sequence (RA then LA, or vice-versa) impacts efficacy.
Methods: Two propensity-matched groups of patients with reflex syncope or functional bradycardia were analyzed.
Cardioneuroablation for the Treatment of Vasovagal Syncope Induced by Chili Pepper Stimulation: A Case Report.
Int Med Case Rep J
November 2024
Cardiovascular Disease Center, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, People's Republic of China.
A 60-year-old woman was admitted to the hospital with "repeated loss of consciousness for 20 years." An electrocardiogram performed revealed sinus rhythm, and echocardiography, head/chest CTs, and a laboratory examination yielded no significant abnormalities. Besides, there were no positive results from the head-up tilt test.
View Article and Find Full Text PDFCardioneuroablation eliminating cardiac asystole associated with area postrema syndrome: a case report and literature review.
Front Cardiovasc Med
October 2024
Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Article Synopsis
- A young patient with neuromyelitis optica spectrum disorder experienced recurrent cardiac asystole and syncope following persistent hiccups, but successfully underwent cardioneuroablation (CNA) treatment, avoiding the need for a permanent pacemaker.
- Previous cases of symptomatic bradycardia-arrhythmia related to area postrema syndrome (APS) showed a significant number required pacemaker implantation, highlighting the severity of the condition.
- The findings suggest that CNA can effectively treat bradyarrhythmia associated with APS, and healthcare professionals should consider the potential link between these symptoms and APS in their clinical assessments.*
Effect of age on clinical impact and mid-term denervation in patients undergoing cardioneuroablation.
Sci Rep
November 2024
Arrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain.
Article Synopsis
- Cardioneuroablation (CNA) is a therapy for conditions like vasovagal syncope, atrioventricular block, and sinus node dysfunction, but its effectiveness for patients over 50 is unclear.
- In a study with 50 patients divided into two age groups (under 50 vs. 50 and above), there was no significant difference in survival rates without syncope or the need for pacemakers between the groups after a median follow-up of 17 months.
- Older patients had lower heart rate post-procedure compared to younger patients, but both age groups showed similar improvements in quality of life and a decrease in heart rate variability.
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