Evidence map›Paper›PMID 39528539›Full record

Observational studyScientific reports2024

Effect of age on clinical impact and mid-term denervation in patients undergoing cardioneuroablation.

Carlos Minguito-Carazo, Jesús Daniel Martínez-Alday, José Luis Martínez-Sande, Javier García Seara, Xesus Alberte Fernández López, Oleksandr Shangutov, Itsaso Larrabide Eguren, Teba González-Ferrero, Juliana Elices-Teja, Marcos Antonio Pérez Veloso and 2 more

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Older age is not an independent predictor of syncope recurrence following cardioneuroablation for reflex syncope.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Observational
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Carlos Minguito-CarazoArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain. carlosminguito@hotmail.es.ORCID http://orcid.org/0000-0002-3628-6245
Jesús Daniel Martínez-AldayUniversity Hospital Basurto, Bilbao, Spain.
José Luis Martínez-SandeArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain.
Javier García SearaArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain.
Xesus Alberte Fernández LópezArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain.
Oleksandr ShangutovArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain.
Itsaso Larrabide EgurenArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain.
Teba González-FerreroArrythmias Unit, University Hospital Lucus Augusti, Lugo, Spain.
Juliana Elices-TejaArrythmias Unit, University Hospital Lucus Augusti, Lugo, Spain.
Marcos Antonio Pérez VelosoUniversity Hospital of Ourense, Ourense, Spain.
José Ramón González-JuanateyArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain.
Moisés Rodríguez-MañeroArrythmias Unit, University Hospital of Santiago de Compostela, A Choupana street, Santiago de Compostela, 15706, A Coruña, Spain. moirmanero@gmail.com.

Funding

Sociedad Española de Cardiología SECARIT-FOR-NAC 21/002
6 · The paper itself

Abstract

Cardioneuroablation (CNA) represents a promising therapy for recurrent vasovagal syncope (VVS), extrinsically driven atrioventricular block (AVB) and sinus node dysfunction (SND). However, effectiveness in patients aged 50 and above is not well-established. In this prospective study of patients referred for CNA, we compared syncope and pacemaker implantation free survival, heart rate (HR) variability (HRV) and quality of life between two age groups: group A (< 50 years) and B (≥ 50 years). A total of 50 patients were included (17 Group A and 33 Group B). The etiologies comprised VVS (56%), AVB (22%), and SND (22%). After a median follow-up of 17.0 (12.5-26.0) months, there were no differences of the combined endpoint of syncope or pacemaker implantation free-survival between groups (29.4.% vs. 21.2%; p-log-rank = 0.736). 84% of the entire cohort remained free from syncope, with a better but not significant syncope free survival in the older group (23.5% vs. 12.1%; p-log rank = 0.486). There were no differences in pacemaker implantation rate (A 5.9% vs. B 17.6%; p log-rank = 0.658). Notably, older patients had lower HR values post-procedure compared to younger patients (68.9 ± 13.3 vs. 80.4 ± 16.3 bpm; p = 0.012). Both groups exhibited a decrease in HRV parameters and an improvement in quality of life. In conclusion, CNA has comparable clinical benefits for patients aged 50 and above in terms of syncope or pacemaker implantation free survival and HRV reduction when compared to younger patients.

Indexed as

Ablation TechniquesAge FactorsAtrioventricular BlockDenervationSick Sinus SyndromeSyncope, VasovagalAdultAgedFemaleHeart RateHumansMaleMiddle AgedPacemaker, ArtificialProspective StudiesTreatment OutcomeAgeAtrioventricular blockCardioneuroablationRecurrent neurally mediated syncopeSinus node diseaseVasovagal syncope

Identifiers

PMID39528539
PMCPMC11554643

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.