Cardioneuroablation has emerged as a potential alternative to cardiac pacing in selected cases with vasovagal reflex syncope, extrinsic vagally induced sinus bradycardia-arrest or atrioventricular block. The technique was first introduced decades ago, and its use has risen over the past decade. However, as with any intervention, proper patient selection and technique are a prerequisite for a safe and effective use of cardioneuroablation therapy. This document aims to review and interpret available scientific evidence and provide a summary position on the topic.

• Klíčová slova
• Atrioventricular block, Autonomic nervous system, Reflex syncope, Sinus bradycardia, Vasovagal syncope,
• MeSH
• ablace MeSH
• bradykardie * terapie   patofyziologie   chirurgie   diagnóza   MeSH
• katetrizační ablace metody   MeSH
• konsensus MeSH
• lidé MeSH
• srdeční frekvence MeSH
• vazovagální synkopa * chirurgie   diagnóza   patofyziologie   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• směrnice pro lékařskou praxi MeSH

Since its original description in 2005, catheter ablation techniques, commonly called cardioneuroablation, have emerged as a potential strategy for modulating autonomic function. Multiple investigators have provided observational data on the potential benefits of this technique in a variety of conditions associated with or exacerbated by increased vagal tone such as vasovagal syncope, functional atrioventricular block, and sinus node dysfunction. Patient selection, current techniques including the various mapping strategies, clinical experience, and limitations of cardioablation are reviewed. Finally, while cardioneuroablation has potential to be a treatment option for selected patients with symptoms mediated by hypervagotonia, the document outlines the important knowledge gaps that currently exist and the necessary next steps required before this technique can be widely implemented into clinical practice.

• Klíčová slova
• Autonomic nervous system, Cardioneuralablation, Cardioneuroablation, Functional bradycardia, Vasovagal syncope,
• Publikační typ
• časopisecké články MeSH

[Figure: see text]

• Klíčová slova
• Catheter ablation, Methods, Neurally mediated syncope, Reflex syncope, Syncope, Vasovagal syncope,
• MeSH
• bradykardie MeSH
• lidé MeSH
• reflex MeSH
• vazovagální synkopa * diagnóza   chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH