Cardioneuroablation for the Treatment of Vasovagal Syncope Induced by Chili Pepper Stimulation: A Case Report

Rui Huang; Qingning Huang; Yuhua Lei

doi:10.2147/IMCRJ.S478492

Cardioneuroablation for the Treatment of Vasovagal Syncope Induced by Chili Pepper Stimulation: A Case Report

Int Med Case Rep J. 2024 Nov 18:17:971-975. doi: 10.2147/IMCRJ.S478492. eCollection 2024.

Authors

Rui Huang^#^{1

2

3}, Qingning Huang^#^{1

2

3}, Yuhua Lei^{1

2

3}

Affiliations

¹ Cardiovascular Disease Center, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, People's Republic of China.
² Hubei Selenium and Human Health Institute, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, People's Republic of China.
³ Hubei Provincial Key Laboratory of Selenium Resources and Bioapplications, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, People's Republic of China.

^# Contributed equally.

Abstract

A 60-year-old woman was admitted to the hospital with "repeated loss of consciousness for 20 years." An electrocardiogram performed revealed sinus rhythm, and echocardiography, head/chest CTs, and a laboratory examination yielded no significant abnormalities. Besides, there were no positive results from the head-up tilt test. The subsequent decrease in heart rate and blood pressure following the ingestion of chili pepper indicated a potential case of vasovagal syncope(VVS) with cardioinhibition. Following cardioneuroablation, there was an observed increase in heart rate compared to pre-procedure levels. Furthermore, no recurrence of similar symptoms was reported during the one-year follow-up period.

Keywords: Cardioneuroablation; VVS; Vasovagal syncope; chili pepper stimulation.

Publication types

Case Reports

Grants and funding

This work was funded by the National Natural Science Foundation of China (No.82160072, No.82360085), the Natural Science Foundation of Hubei Province (No.2023AFD073) and the Science and Technology Support Project of Enshi Prefecture Science and Technology Bureau (No. D20230075, D20230079).