{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:47:50Z","timestamp":1792090070311,"version":"4.4.0"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,12,17]],"date-time":"2008-12-17T00:00:00Z","timestamp":1229472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:p>A 15\u2010year\u2010old female patient presented with frequent episodes of vasovagal syncope refractory to non\u2010pharmacological and pharmacological measures. Two tilt\u2010table tests performed before and after conventional therapy were positive and reproduced the patient's clinical symptoms. Selective vagal denervation, guided by HFS, was performed. Six radiofrequency pulses were applied on the left and right sides of the interatrial septum, abolishing vagal responses at these locations. Basal sinus node and Wenckebach cycle lengths changed significantly following ablation. A tilt test performed after denervation was negative and revealed autonomic tone modification. The patient reported significant improvement in quality of life and remained asymptomatic for 9 months after denervation. After this period, three episodes of NMS occurred during a 4\u2010month interval and a tilt test performed 11 months after the procedure demonstrated vagal activity recovery.<\/jats:p>","DOI":"10.1111\/j.1540-8167.2008.01385.x","type":"journal-article","created":{"date-parts":[[2008,12,19]],"date-time":"2008-12-19T07:49:27Z","timestamp":1229672967000},"page":"558-563","source":"Crossref","is-referenced-by-count":42,"title":["Selective Vagal Denervation of the Sinus and Atrioventricular Nodes, Guided by Vagal Reflexes Induced by High Frequency Stimulation, to Treat Refractory Neurally Mediated Syncope"],"prefix":"10.1111","volume":"20","author":[{"given":"MAURICIO","family":"SCANAVACCA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DENISE","family":"HACHUL","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CRISTIANO","family":"PISANI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EDUARDO","family":"SOSA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4,21]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200012213432507"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp042601"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCUALTIONAHA.108.189741"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eupc.2004.10.003"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-005-2492-2"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.633560"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2005.50048.x"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2007.04.023"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8167.2002.00735.x"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.02.066"},{"key":"e_1_2_10_12_2","first-page":"S65","article-title":"Long\u2010term autonomic evaluation in patients undergoing selective vagal denervation to treat paroxysmal atrial fibrillation","volume":"4","author":"Pisani CF","year":"2007","journal-title":"Heart Rhythm"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7793.2000.00561.x"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8167.2008.01385.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8167.2008.01385.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T23:40:05Z","timestamp":1696981205000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8167.2008.01385.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,4,21]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,5]]}},"alternative-id":["10.1111\/j.1540-8167.2008.01385.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8167.2008.01385.x","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,4,21]]}}}