ArticleEuropean heart journal. Case reports2025
Optimizing cardioneuroablation candidate selection: a case report using tilt-table testing with Russo's Fast Italian Protocol.
Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cardioneuroablation (CNA) has emerged as a promising therapeutic alternative to conventional pacing therapy for vasovagal syncope (VVS). Accurate patient selection and diagnosis are crucial for achieving optimal outcomes. The lack of a universally accepted protocol specifically tailored for selecting patients for CNA presents a gap in the current guidelines. Case summary: This case is about a 44-year-old male with recurrent severe syncope. Head-up tilt-table testing utilizing the newly established Fast Italian Protocol (FIP) by Russo Discussion: This case highlights the utility of tilt testing and the efficacy of the FIP as an efficient diagnostic tool for evaluating cardioinhibitory vagal responses. It supports its role in patient selection for CNA and additionally presents a promising option for a non-invasive follow-up assessment, though further investigation is needed. Its simplicity and efficiency position it as a promising candidate for standardization as the primary diagnostic tool in CNA workflows.
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