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. 2020 Jun 30;13(1):2396. doi: 10.4022/jafib.2396

Table 2. Published trials of cardioneuroablation in patients with pure vasovagal syncope.

* Clinical assessments, 12-lead ECG, and 24-h Holter-monitor recordings were obtained at baseline and 1, 3, and 6 months after the ablation procedure in electroanatomic-mapping-guided CNA group. In combined approach group, the prospective follow-up consisted of a clinical evaluation (at discharge, 1 month, 3, 6, 12, and 24 months), ECG (at discharge, 1 month, 3, 6, 12, and 24 months), Holter monitoring (at discharge, 1 month, 3, 6, 12, and 24 months), and HUT (at 6 months and in case of symptoms).** Cardioinhibition with reproduction of symptoms occurred in all the patients. Patients with type 2 response or type 1 response in addition to important cardioinhibitory responses were included in the study.*** In one of cases of combined approach group, situational syncope was accompanied by VVS which was related with defecation. In one of the case of EAM-guided CNA group, paroxysmal atrial fibrillation episodes were detected on Holter recordings.HUT, head-up tilt table test; IQR, interquartile range; NI, not indicated; SD, Standard deviation

Trial Pachon47 Yao48 Sun49 Hu50 Aksu51
Age 32 ± 15 50 ± 6 43 ±13 42 ± 17 36 ±12
Follow-up 45 ± 22 30 ± 16 36 ±22 21 ± 13 NI*
Case number 43 10 57 115 20
Type of vasovagal syncope Type 1 NI** NI NI 74.8% 20%
Type 2 NI** NI NI 11.3% 80%***
Type 3 excluded NI NI 13.9% excluded
Diagnostic tool HUT + + + + +
Holter + + + + +
Exercise + - - - +
Counterpressure maneuvers + + + + +
Medication NI + + + NI
Mean±SD or median (IQR) syncope burden 4 ± 2 6.5 (3-100) 9 (4-15) 6 ± 6 4 ± 1
Atropine challenge test + - - - +