Qianjiang Evening News·Houri News Reporter Tang Xufeng Correspondent Xu Chenyan Gan Tingyi
"I haven't fainted again in the past ten days." 60-year-old Ningbo Ms. Li said happily that she had fainted for more than 20 years, but she didn't expect that the doctor would treat the disease through minimally invasive technology.
Ms. Li has been dying repeatedly over the past 20 years. At first it happened by chance, but suddenly I lost consciousness and fainted. After about 10 seconds, I woke up again and found that I was sweating all over my body. During this period, she also visited many hospitals, but none of them were identified.
Since the beginning of this year, Ms. Li has fainted more and more frequently, and she has fainted more than 10 times in almost a month. Once, she suddenly fainted while cooking, and her head touched the corner of the cabinet on the side, causing scalp hematoma . My family was worried and took her to Ningbo Li Huili Hospital for for examination.
After examination, the doctor highly suspected that Ms. Li had vagus syncope, and an upright tilt test was performed on her in the Department of Cardiovascular Internal Medicine of the hospital. During the process, Ms. Li's blood pressure suddenly dropped to 79/39mmHg, and even reached a lower level that could not be measured after reaching a lower level. Her heart rate dropped to 34 beats per minute, and she developed dizziness, nausea, pale complexion, sweating, and darkness. She then lost consciousness and her symptoms relieved after the reduction.
"This is a typical vagus syncope," said Dr. Wang Zicheng, who received the doctor, explained that Ms. Li's heart vagus is more sensitive than ordinary people, and is prone to excitement and causes fainting, such as tension and fatigue.
After finding the "real murderer", Ms. Li and her family were very excited. The doctor prepared ablation of the cardiac vagus ganglion for Ms. Li. It is to use a minimally invasive method to send a catheter into the heart through vascular puncture, ablation of areas with high vagus nerve activity in the heart, effectively blocking the reflex pathway, and thus preventing vasovagal syncope.
"The vagus nerve has many ganglion units. Through ablation, it kills several of the particularly prone to excitement of the troublemakers, reduces their excitability, and then reduces the onset of the disease."
The surgery has little trauma and fast recovery, and the radiofrequency ablation efficiency reaches 80%-90%.
10 days ago, Ms. Li successfully performed radiofrequency ablation surgery for left atrial vagus ganglion catheter. One hour later, the "troublemaker" in Ms. Li's heart was successfully eliminated and her heart rate returned to 70 times per minute. The next day, Ms. Li was discharged from the hospital.
Doctor said that there are many patients with vagus syncope like Ms. Li, and nearly 2/3 of the syncope belong to vagus syncope. In the past, it was often done by improving living habits, drug treatment, tilt training, pacemaker treatment, etc., but the treatment effect was not satisfactory. Ablation can inhibit the hyperactive vagus nerve and is very effective in treating chronic arrhythmias caused by refractory vagus syncope and increased vagus nerve tone.
This article is an original work of Qianjiang Evening News. Reproduction, copying, excerpting, rewriting, and online dissemination are prohibited without permission. Otherwise, this newspaper will pursue legal liability for the infringer through judicial channels.
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