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Stepwise Approach to the Different Parts of Vasovagal Syncope in a Patient Undergoing Cardioneuroablation

A 30-year-old man underwent vagal ganglia ablation due to cardioinhibitory type vasovagal syncope with asystole. After asymptomatic period of 15-month following the procedure, the patient experienced 2 new syncope episodes. Tilt test demonstrated vasodepressor response without significant bradycardia. Following the onset of midodrine therapy, the patient was asymptomatic for 1 year and tilt test demonstrate normal response.

Credits: Tolga Aksu, MD, Associated Professor of Cardiology Tumer Erdem Guler, MD Serdar Bozyel, MD Kivanc Yalin, MD, FEHRA

Biosense Webster
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Introduction to AFib
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