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Catheter ablation of bradyarrhythmia: from the beginning to the future

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Aksu, Tolga

Güler, Tumer Erdem

Yalın, Kıvanc

Ozcan, Kazım Serhan

Calo, Leonardo

Date

2018

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Review

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Abstract

Enhanced parasympathetic tone may cause sinus bradycardia or pauses, transient or permanent atrioventricular block, with resultant vasovagal syncope. A substantial portion of these patients may be highly symptomatic and refractory to the conventional therapies and may require cardiac pacemaker implantation. Cardioneuroablation is a little known technique for management of patients with excessive vagal activation based on radiofrequency catheter ablation of main parasympathetic autonomic ganglia around the heart. Due to complicated inclusion criteria, ganglia detection methods, and ablation endpoints, routine usage of the procedure cannot be recommended at this time. In this comprehensive review, we aimed to discuss all aspects of cardioneuroablation procedure in bradyarrhythmias.

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Elsevier

Subject

Medicine , General , Internal

Citation

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Source

American Journal of the Medical Sciences

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DOI

10.1016/j.amjms.2017.11.016

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https://doi.org/10.1016/j.amjms.2017.11.016
 https://hdl.handle.net/20.500.14288/11220

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Over the last 15 years, the number of childhood deaths has been cut in half. This proves that it is possible to win the fight against almost every disease. Still, we are spending an astonishing amount of money and resources on treating illnesses that are surprisingly easy to prevent. The new goal for worldwide Good Health promotes healthy lifestyles, preventive measures and modern, efficient healthcare for everyone.
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Item type:Goal, Access status: Open Access ,
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Too much of the world’s wealth is held by a very small group of people.This often leads to financial and social discrimination. In order for nations to flourish, equality and prosperity must be available to everyone – regardless of gender, race, religious beliefs or economic status. When every individual is self sufficient, the entire world prospers.
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