Management strategies for vasovagal syncope

Muzaffar Ali; Jose Carlos Pachon Maetos; Asim Kichloo; Sundas Masudi; Blair P Grubb; Khalil Kanjwal

doi:10.1111/pace.14402

Management strategies for vasovagal syncope

Pacing Clin Electrophysiol. 2021 Dec;44(12):2100-2108. doi: 10.1111/pace.14402. Epub 2021 Nov 23.

Authors

Muzaffar Ali¹, Jose Carlos Pachon Maetos², Asim Kichloo^{3

4}, Sundas Masudi⁵, Blair P Grubb⁶, Khalil Kanjwal⁷

Affiliations

¹ Sheri Kashmir Institute, Department of Cardiology, Srinagar, Jammu and Kashmir, India.
² University of São Paulo, Department of cardiology, São Paulo, Brazil.
³ Central Michigan University, Internal Medicine, Saginaw, Michigan, USA.
⁴ Samaritan Medical Center, Internal Medicine, Watertown, New York, USA.
⁵ University of Liverpool School of Medicine, Liverpool, UK.
⁶ Division of cardiology, University of Toledo, Toledo, Ohio, USA.
⁷ Section of Cardiac electrophysiology, McLaren Greater Lansing, Lansing, Michigan, USA.

PMID: 34748224
DOI: 10.1111/pace.14402

Abstract

Vasovagal syncope (VVS) (or neurocardiogenic syncope) is a common clinical condition that is challenging to both physicians and patients alike. Severe episodes of recurrent syncope can result in physical injury as well as psychological distress. This article provides a brief overview of current management strategies and a detailed overview of therapeutic modalities such as closed loop stimulation (CLS) and cardioneuroablation (CNA).

Keywords: cardioneuroablation (CNA); dysautonomia; syncope; vasovagal syncope (VVS).

Publication types

Review

MeSH terms

Ablation Techniques
Algorithms
Cardiac Pacing, Artificial
Diagnosis, Differential
Humans
Quality of Life
Syncope, Vasovagal / diagnosis
Syncope, Vasovagal / etiology
Syncope, Vasovagal / therapy*