心脏神经消融术是治疗舌咽神经痛相关窦性心动过缓和停顿的有效方法。

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Electrophysiology Pub Date : 2024-08-19 DOI:10.1111/jce.16407
Nana Liu MD, PhD, Rohan Prasad MD, Indiresha Iyer MD, Shehryar Sheikh MD, Jashanjit Turka MD, Loai Dweik MD, Mark Bain MD, Pasquale Santangeli MD, PhD, Mina K. Chung MD
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引用次数: 0

摘要

简介:经证实,心脏神经消融术(CNA)可有效治疗迷走神经张力过高症状,如神经性心源性晕厥:在本病例中,我们首次将 CNA 应用于一例诉口-舌咽神经痛(VGPN)病例。一名 59 岁的女性因反复右侧颈部疼痛引发近似晕厥、窦性心动过缓和窦性停顿,被诊断为 VGPN。患者接受了卡马西平和 CNA 的成功治疗。随后的随访显示,即使在停用卡马西平后颈部疼痛再次发作,患者也没有出现窦性心动过缓或停顿:在这名患者身上,CNA 成功地防止了与 VGPN 相关的暂停,避免了永久性起搏器植入。
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Cardioneuroablation can be an effective strategy to treat glossopharyngeal neuralgia-related sinus bradycardia and pauses

Introduction

Cardioneuroablation (CNA) has proven effectiveness in addressing hypervagotonia symptoms, such as neurocardiogenic syncope.

Methods and Results

In this case, we present the first-time application of CNA in a case of vago-glossopharyngeal neuralgia (VGPN). A 59-year-old female with near-syncope, sinus bradycardia, and sinus pauses triggered by recurrent right-sided neck pain was diagnosed with VGPN. The patient underwent successful treatment with carbamazepine and CNA. Subsequent follow-up revealed the sustained absence of sinus bradycardia or pauses, even upon neck pain resurgence after discontinuing carbamazepine.

Conclusion

In this patient, CNA successfully prevented pauses associated with VGPN, avoiding permanent pacemaker implantation.

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来源期刊
CiteScore
5.20
自引率
14.80%
发文量
433
审稿时长
3-6 weeks
期刊介绍: Journal of Cardiovascular Electrophysiology (JCE) keeps its readership well informed of the latest developments in the study and management of arrhythmic disorders. Edited by Bradley P. Knight, M.D., and a distinguished international editorial board, JCE is the leading journal devoted to the study of the electrophysiology of the heart.
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