Implantable Loop Recorder and Cardioneuroblation

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-18
SponsorIstituto Auxologico Italiano

About this trial

The study aims to determine which method of vagal ganglia ablation is most effective in preventing recurrences of reflex asystole syncope. Currently, some centers perform ablation only in the right atrium, others in both atria (biatrial). There are no comparative studies between the two procedures

Eligibility criteria

Qualifiers

Age 18 to 60 years

Clinical diagnosis of reflex syncope as per class I criteria of the ESC guidelines

History of recurrent severe syncopes (≥2 in the last year or ≥3 in the last 2 years), significantly affecting the quality of life, nonresponding to lifestyle measures.

Documentation by means of prolonged ECG monitoring of an asystolic pause >6 sec or of an asystolic syncope >3 sec and/or an asystolic syncope induced during tilt testing (Vasis 2B form).

Disqualifiers

Intrinsic sinus dysfunction or atrioventricular node disease.

Constitutional hypotension and orthostatic intolerance syndromes

Overt structural heart disease

Alternative diagnoses of syncope

Trial design

Treatments tested in this trial

  • Right atrial ablation
  • Bi-atrial ablation

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators