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心脏神经消融术治疗反射性晕厥和功能性心动过缓：欧洲心脏病学会心律协会 (EHRA)、心律学会 (HRS)、亚太心律学会 (APHRS) 和拉丁美洲心律学会 (LAHRS) 的科学声明。

Cardioneuroablation for the treatment of reflex syncope and functional bradyarrhythmias: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS) and the Latin American Heart Rhythm Society (LAHRS).

机构信息

Department of Cardiology, Yeditepe University Hospital, İçerenköy Mah. Hastahane Sok. 4,4/1 34752 Ataşehir/İstanbul, Turkey.

Department of Cardiology, IRCCS Istituto Auxologico Italiano, Hospital S. Luca, Milan, Italy.

出版信息

Europace. 2024 Aug 3;26(8). doi: 10.1093/europace/euae206.

DOI:10.1093/europace/euae206
PMID:39082698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11350289/
Abstract

Cardioneuroablation has emerged as a potential alternative to cardiac pacing in selected cases with vasovagal reflex syncope, extrinsic vagally induced sinus bradycardia-arrest or atrioventricular block. The technique was first introduced decades ago, and its use has risen over the past decade. However, as with any intervention, proper patient selection and technique are a prerequisite for a safe and effective use of cardioneuroablation therapy. This document aims to review and interpret available scientific evidence and provide a summary position on the topic.

摘要

心脏神经消融术已成为治疗血管迷走性反射性晕厥、外源性迷走神经诱导性窦性心动过缓-停搏或房室传导阻滞的一种潜在替代心脏起搏的方法。该技术几十年前首次被引入，过去十年中其应用有所增加。然而，与任何干预措施一样，适当的患者选择和技术是安全有效使用心脏神经消融治疗的前提。本文旨在回顾和解释现有科学证据，并就该主题提供总结性立场。

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