Prof. Dr. med. Richard Kobza

Specialist in Cardiology and Internal Medicine Specialized in Rhythmology

New treatment for syncope (loss of consciousness) in younger patients

Pioneering cardioneuroablation is a promising method for the treatment of syncope in younger patients. This technique aims to positively influence the cardiac autonomic nervous system and offers new hope for patients with vasovagal/reflex syncope caused by

stress, anxiety, coughing, pain or bowel movements.

A thorough examination is required to determine whether cardioneuroablation is suitable for you. This includes documentation of symptoms using Holter, ILR or TILT testing and possibly a cardiac MRI to rule out structural heart disease. If it is determined that a functional block is present, your doctor may recommend invasive ablation treatment to avoid the need for a pacemaker.

Previously, non-invasive treatments such as increased salt intake, TILT training, caffeine intake and trigger avoidance were used, but these were often unsuccessful. The only invasive option was the implantation of a DDD pacemaker.

Today, however, there is a safe and effective alternative to avoid the need for a pacemaker. Cardioneuroablation is an invasive method that aims to reduce the effects of the sympathetic nervous system without completely impairing cardiac function. Patients who have successfully undergone the procedure report a faster heart rate, less heart rate variability and fewer or even no more syncope. Talk to your doctor about this innovative treatment option and find out if cardioneuroablation is right for you.