Ganglionated Plexi Ablation to Treat Patients with Refractory Neurally Mediated
            Syncope and Severe Vagal-Induced Bradycardia

Scanavacca, Maurício; Hachul, Denise

doi:10.5935/abc.20190107

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…Devido às diferentes técnicas empregadas, estudos randomizados multicêntricos seriam necessários para definir a eficácia, a melhor técnica, a segurança e a reprodutibilidade do método. 107 Taquicardia Sinusal Inapropriada (TSI) O primeiro caso de taquicardia sinusal inapropriada (TSI) foi descrito na literatura em 1939 por Codvelle e Boucher. 108 Atualmente, estima-se uma prevalência de 1,2% na população geral.…”

Section: Hipersensibilidade Do Seio Carotídeo E a Cardioneuroablaçãounclassified

Disautonomia: Uma Condição Esquecida – Parte 1

Rocha¹,

Mehta²,

Távora-Mehta³

et al. 2021

Arquivos Brasileiros De Cardiologia

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Section: Hipersensibilidade Do Seio Carotídeo E a Cardioneuroablaçãounclassified

Disautonomia: Uma Condição Esquecida – Parte 1

Rocha¹,

Mehta²,

Távora-Mehta³

et al. 2021

Arquivos Brasileiros De Cardiologia

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“…3 c. Cardioneuroablation (CNA) RS may be very rapid in some patients which may not provide enough time for the use of any other management modalities like counterpressure maneuvers or pacing to abort a particular episode. 136 Catheter ablation to attenuate vagal activity on sinus and AV node has evolved as one of the treatment modalities in a subgroup of patients not responsive to other treatments. [136][137][138] This technique of treatment of bradyarrhythmia is termed CNA.…”

Section: Management Of Situational Syncopementioning

confidence: 99%

“…136 Catheter ablation to attenuate vagal activity on sinus and AV node has evolved as one of the treatment modalities in a subgroup of patients not responsive to other treatments. [136][137][138] This technique of treatment of bradyarrhythmia is termed CNA. In this technique, ganglionated plexi (GPs) are targeted systematically-leftsided plexi first, aorto-superior vena cava (Ao-SVC) GP (for tackling atrial vagal innervations), posteromedial left GP (in case of AV block as the presenting feature), and an additional right-sided ablation if left-sided ablation was not sufficient.…”

Section: Management Of Situational Syncopementioning

confidence: 99%

Evaluation and Management of Reflex Vasovagal Syncope—A Review

Udyavar

Deshpande

2021

Indian Journal of Clinical Cardiology

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Syncope is a symptom that is commonly encountered in the practice and may point to a cardiac or neurological diagnosis. The evaluation of syncope rests on a thorough clinical evaluation, aided by electrocardiogram (ECG) findings, followed by risk stratification of the particular case. Once high-risk factors have been ruled out, the patient can be further diagnosed as having a reflex syncope (RS), orthostatic hypotension, or cardiac syncope based on specific clues. If the initial evaluation is not confirmatory various diagnostic tests may be used to guide further management (eg, long-term ECG monitoring, tilt table testing, etc). The management should be based on the overall profile of the patient and not only on any single test. In this review, we discuss the evaluation of a patient with RS and give an overview of treatments available for the patients.

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