Cardioneural Ablation in Practice Cases, Curves, and Clinical Impact

Cardioneural Ablation in Practice: Cases, Curves, and Clinical Impact Guest: Guru Kowlgi, M.B.B.S., M.S. Host: Anthony Kashou, M.D. In this episode of segment “ECG Making Waves” on Mayo Clinic podcast Interviews With the Experts, Dr. Anthony Kashou interviews Dr. Guru Kowlgi, a consultant in heart rhythm services at Mayo Clinic and assistant professor of medicine at the Mayo Clinic College of Medicine and Science. Listeners will hear a deep dive into real-world experience with cardioneural ablation, focusing on case volume, patient selection, and clinical outcomes. Topics Discussed: • What clinical problem is cardioneural ablation trying to solve? Cover indications, both established and new • How many cardioneural ablation cases have you performed to date? (How has case selection evolved over time?) • What are your success rates? Any complications? • Any concerns about long-term autonomic imbalance? • What trials or data are still needed? 0:00 Introduction to Cardioneuroablation in Practice 2:06 Clinical Problems Cardioneuroablation Can Address 4:24 Evolving Patient Selection and Mayo Experience 5:50 Expanding Cardioneuroablation Beyond Classic Syncope 6:48 Treating Functional Bradycardia and Pacemaker Patients 7:53 Clinical Outcomes and Procedure Success Rates 9:19 Quality of Life and Pacemaker Removal 10:32 Long-Term Autonomic Effects and Patient Concerns 11:03 Understanding the Serious Impact of Syncope 12:28 Heart Rate Changes After Cardioneuroablation 13:49 Ventricular Arrhythmia and Safety Considerations 14:39 Understanding Changes in Heart Rate Variability 15:24 Key Takeaways and Closing Discussion 16:18 Cardiovascular CME Podcast Resources 16:59 Continuing Education and CME Opportunities