Cardioneuroablation for the Treatment of Vagal Mediated Ventricular Fibrillation in Short QT Syndrome, Case Report.

IF 1.3
Pacing and clinical electrophysiology : PACE Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI:10.1111/pace.70018
Hamza Hamayel, Fateh Awwad, Yunis Daralammouri, Sajed Majadla, Nidal Sharan, Mohammed Sameer Dwikat, Majed Othman, Ibrahim Marai
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引用次数: 0

Abstract

Augmented vagal effect may be the trigger of ventricular arrhythmia in Short QT syndrome (SQTS). We offer a novel option for refractory cases. This is a 28-year-old male patient who experienced recurrent ICD shocks due to ventricular fibrillation (VF) episodes preceded by enhanced vagal tone. Conventional treatment failed to suppress ventricular arrhythmia. Cardioneuroablation was performed to attenuate vagal response, which ultimately suppressed ventricular arrhythmia. Cardioneuroablation may be an alternative option for vagal mediated ventricular arrhythmia in patients with SQTS refractory to conventional treatments.

心神经消融术治疗短QT综合征迷走神经介导的心室颤动,病例报告。
迷走神经增强效应可能是短QT综合征室性心律失常的触发因素。我们为难治性病例提供了一种新颖的选择。这是一个28岁的男性患者,由于室性颤动(VF)发作前的迷走神经张力增强而经历了反复的ICD电击。常规治疗未能抑制室性心律失常。行心神经消融术以减弱迷走神经反应,最终抑制室性心律失常。对于传统治疗难治性SQTS患者,心神经消融术可能是迷走神经介导的室性心律失常的一种替代选择。
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