2023
DOI: 10.1016/j.jacep.2022.08.011
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Cardioneuroablation for Reflex Syncope

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Cited by 74 publications
(37 citation statements)
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“…The study of deceleration capacity (which is an HRA index related to the vagal activity) strengthens this conclusion (Zheng et al, 2020;Tu et al, 2022). In the case of cardioinhibitory VVS, the patients after cardioneuroablation treatment had lower mean RR and significantly changed HRV parameters toward parasympathetic withdrawal (Piotrowski et al, 2022). However, other research indicates the usefulness of the heart rate Poincaré plot shape analyses in VVS diagnosis (Yuan et al, 2022).…”
Section: Discussionmentioning
confidence: 86%
“…The study of deceleration capacity (which is an HRA index related to the vagal activity) strengthens this conclusion (Zheng et al, 2020;Tu et al, 2022). In the case of cardioinhibitory VVS, the patients after cardioneuroablation treatment had lower mean RR and significantly changed HRV parameters toward parasympathetic withdrawal (Piotrowski et al, 2022). However, other research indicates the usefulness of the heart rate Poincaré plot shape analyses in VVS diagnosis (Yuan et al, 2022).…”
Section: Discussionmentioning
confidence: 86%
“…In this regard, during programmed atrial stimulation, a sudden jump of the A‐H interval representing conduction switch from the fast pathway to the slow pathway may cause the stimulated P wave to hide into the T wave of the preceding QRS complex, thus reproducing what can be spontaneously observed on baseline ECG in these patients referring for DAVNP‐related PPMS 16 . Finally, atropine test might be helpful to select young patients with PPMS and reflex syncope who may benefit from radiofrequency ablation of atrial ganglionated plexi (i.e., cardioneuroablation) 22 …”
Section: Discussionmentioning
confidence: 90%
“…In this regard, during programmed atrial stimulation, a sudden jump of the A-H interval representing conduction switch from the fast pathway to the slow pathway may cause the stimulated P wave to hide into the T wave of the preceding QRS complex, thus reproducing what can be spontaneously observed on baseline ECG in these patients referring for DAVNP-related PPMS. 16 Finally, atropine test might be helpful to select young patients with PPMS and reflex syncope who may benefit from radiofrequency ablation of atrial ganglionated plexi (i.e., cardioneuroablation) 22 However, the identification of the underlying cause of PPMS represents the key that guides to the best patient management. Broadly speaking, patients with PPMS roughly fall into one of the following four categories when it comes to etiology: (1) Idiopathic PPMS with evidence of impaired conduction over the AV node (20% of cases), (…”
Section: Discussionmentioning
confidence: 99%
“…It has also been tested to evaluate treatment effectiveness, showing little value in this aspect. Finally, in recent years it has been demonstrated that cardiac denervation of parasympathetic ganglia can be highly effective in reducing cardioinhibitory reflex syncope, a technique known as cardioneuroablation[ 43 ]. Tilt test might play a crucial role in detecting suitable patients for this promising procedure[ 44 ].…”
Section: Diagnostic Approach and Testmentioning
confidence: 99%