ArticleJACC. Case reports2025
Cardioneuroablation for Refractory Vasovagal Storm Secondary to a Right Hilar Tumor.
Article in JACC. 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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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.
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Authors and funding
7 authors.
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Abstract
backgroundCardiac syncope due to sinus arrest may result from either a vasovagal cardioinhibitory mechanism or an intrinsic sinus node dysfunction. CASE SUMMARY: A 67-year-old woman with a recently diagnosed right hilar mass presented with new-onset episodes of syncope associated with sinus arrest. Resting electrocardiogram was normal, and no electrolyte abnormalities were identified. Detailed analysis of telemetry recordings revealed a typical vasovagal cardioinhibitory response. The patient underwent a cardioneuroablation procedure. Since the procedure, there has been no recurrence of syncope or evidence of sinus pause. DISCUSSION: A vasovagal cardioinhibitory response may be triggered by mechanical compression of the vagus nerve or ganglionated plexi. Cardioneuroablation represents a valuable alternative to permanent pacemaker implantation and should be considered in appropriately selected patients. TAKE-HOME MESSAGE: This case highlights the diagnostic telemetry features of vasovagal cardioinhibitory response in an unusual cause of vasovagal syncope, guiding appropriate management with cardioneuroablation.
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