Neurally mediated reflex syncope

Catheter-based ablation

Reserved for syncope related to tachyarrhythmias.[2]Brignole M, Moya A, de Lange FJ, et al; ESC Scientific Document Group. 2018 ESC guidelines for the diagnosis and management of syncope. Eur Heart J. 2018 Jun 1;39(21):1883-948. https://academic.oup.com/eurheartj/article/39/21/1883/4939241 http://www.ncbi.nlm.nih.gov/pubmed/29562304?tool=bestpractice.com Some research suggests a possible role for treatment of recurrent vasovagal syncope refractory to conventional treatment. In one retrospective cohort study, 91.2% (52/57) patients with vasovagal syncope treated with catheter ablation were free from syncope after 12-102 months' follow-up.[81]Sun W, Zheng L, Qiao Y, et al. Catheter ablation as a treatment for vasovagal syncope: long-term outcome of endocardial autonomic modification of the left atrium. J Am Heart Assoc. 2016 Jul 8;5(7):e003471. https://www.ahajournals.org/doi/10.1161/JAHA.116.003471 http://www.ncbi.nlm.nih.gov/pubmed/27402231?tool=bestpractice.com