Beblo Amelie, Hättasch Robert, Dagres Nikolaos, Hohendanner Felix, Hindricks Gerhard, Richter Sergio, Tscholl Verena
Klinik für Kardiologie, Angiologie und Intensivmedizin, Campus Mitte, Deutsches Herzzentrum der Charité, Charitéplatz 1, 10117, Berlin, Germany.
Herzzentrum Dresden, Klinik für Innere Medizin und Kardiologie, Universitätsklinik, Technische Universität Dresden, Fetscherstraße 76, 01307, Dresden, Germany.
Herzschrittmacherther Elektrophysiol. 2025 Aug 28. doi: 10.1007/s00399-025-01103-8.
The case of a 36-year-old female patient with recurrent reflex syncope characterized by predominant cardioinhibition and episodes of asystole lasting up to 9 s, as documented by an implantable loop recorder, is reported. Given her young age and symptomatic burden, cardioneuroablation (CNA) was performed without complications as an alternative to pacemaker implantation, in accordance with European Heart Rhythm Association (EHRA) recommendations. In this case, CNA has shown to be an effective and safe treatment option for managing recurrent cardioinhibitory reflex syncope. CNA should particularly be considered and offered in specialised centres for symptomatic patients under 40 years of age, in which treatment options beyond conservative measures remain limited.
报告了一例36岁女性复发性反射性晕厥患者的病例，植入式循环记录仪记录显示，其主要表现为心脏抑制，心脏停搏发作持续长达9秒。鉴于患者年轻且症状负担重，根据欧洲心律协会（EHRA）的建议，进行了心脏神经消融术（CNA），作为起搏器植入的替代方案，且无并发症。在该病例中，CNA已被证明是治疗复发性心脏抑制性反射性晕厥的一种有效且安全的选择。对于40岁以下有症状的患者，尤其是在保守治疗措施之外治疗选择有限的情况下，应在专科中心特别考虑并提供CNA治疗。
