Cardioneuroablation can be an effective strategy to treat glossopharyngeal neuralgia-related sinus bradycardia and pauses.

Autor: Liu N; Department of CV Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, USA., Prasad R; Department of Internal Medicine, Cleveland Clinic Akron General Hospital, Akron, Ohio, USA., Iyer I; Department of Internal Medicine, Cleveland Clinic Akron General Hospital, Akron, Ohio, USA., Sheikh S; Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio, USA., Turka J; Department of Internal Medicine, Cleveland Clinic Akron General Hospital, Akron, Ohio, USA., Dweik L; Department of Internal Medicine, Cleveland Clinic Akron General Hospital, Akron, Ohio, USA., Bain M; Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio, USA., Santangeli P; Department of CV Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, USA., Chung MK; Department of CV Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, USA.
Jazyk: angličtina
Zdroj: Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2024 Oct; Vol. 35 (10), pp. 2076-2080. Date of Electronic Publication: 2024 Aug 19.
DOI: 10.1111/jce.16407
Abstrakt: Introduction: Cardioneuroablation (CNA) has proven effectiveness in addressing hypervagotonia symptoms, such as neurocardiogenic syncope.
Methods and Results: In this case, we present the first-time application of CNA in a case of vago-glossopharyngeal neuralgia (VGPN). A 59-year-old female with near-syncope, sinus bradycardia, and sinus pauses triggered by recurrent right-sided neck pain was diagnosed with VGPN. The patient underwent successful treatment with carbamazepine and CNA. Subsequent follow-up revealed the sustained absence of sinus bradycardia or pauses, even upon neck pain resurgence after discontinuing carbamazepine.
Conclusion: In this patient, CNA successfully prevented pauses associated with VGPN, avoiding permanent pacemaker implantation.
(© 2024 The Author(s). Journal of Cardiovascular Electrophysiology published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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