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Proposed algorithm for the selection of patients with reflex syncope for cardioneuroablation

Prolonged ECG monitoring and exercise stress testing might be used to rule out intrinsic sinus or atrioventricular node disease, especially in older patients. Abbreviations: AVN, atrioventricular node; CNA, cardioneuroablation; SAN, sinoatrial node.

(From: Aksu T, Brignole M, Calo L, et al. Cardioneuroablation for the treatment of reflex syncope and functional bradyarrhythmias: A Scientific Statement of the European Heart Rhythm Association of the ESC, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society and the Latin American Heart Rhythm Society. Europace 2024;26[8]:euae206. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)

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  • Myocardial ischemia
  • Prolonged QT syndrome
  • Short QT syndrome