Arq. Bras. Cardiol. 2019; 112(6): 709-712
Ganglionated Plexi Ablation to Treat Patients with Refractory Neurally Mediated Syncope and Severe Vagal-Induced Bradycardia
Mauricio Scanavacca
, Denise Hachul
DOI: 10.5935/abc.20190107
Neurally mediated syndrome (NMS) is the most common cause of and transient loss of consciousness and usually causes anxiety and concerns for patients and their families. Clinical investigation and explanations about benignity, in association to lifestyle modifications and teaching methods to abort the vagal reflex are the initial and effective approaches to manage the majority of patients.–
However, in some cases, the loss of consciousness occurs suddenly, without prodromal symptoms and the patient does not have the opportunity to prevent falls, which may lead to severe physical trauma. Specific medications have been proposed trying to control the symptoms and pacemaker implantation has been recommended in the refractory cases of cardioinhibitory reflexes.–
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