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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Perm Medical Journal</journal-id><journal-title-group><journal-title xml:lang="en">Perm Medical Journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Пермский медицинский журнал (сетевое издание "Perm medical journal")</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0136-1449</issn><issn publication-format="electronic">2687-1408</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">690228</article-id><article-id pub-id-type="doi">10.17816/pmj42546-57</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Literature review</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Обзор литературы</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Comparative analysis of the outcomes of cardioneuroablation and pacemaker implantation in cardioinhibitory vasovagal syncope</article-title><trans-title-group xml:lang="ru"><trans-title>Сравнительный анализ результатов кардионейроабляции и имплантации электрокардиостимулятора при кардиоингибиторных вазовагальных обмороках</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4007-7665</contrib-id><name-alternatives><name xml:lang="en"><surname>Kadyraliev</surname><given-names>B. K.</given-names></name><name xml:lang="ru"><surname>Кадыралиев</surname><given-names>Б. К.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>DSc (Medicine), Cardiovascular Surgeon</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, сердечно-сосудистый хирург</p></bio><email>nurslu.kdralieva@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-2835-9571</contrib-id><name-alternatives><name xml:lang="en"><surname>Huziahmetov</surname><given-names>R. D.</given-names></name><name xml:lang="ru"><surname>Хузиахметов</surname><given-names>Р. Д.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cardiovascular Surgeon</p></bio><bio xml:lang="ru"><p>сердечно-сосудистый хирург</p></bio><email>nurslu.kdralieva@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-7617-2305</contrib-id><name-alternatives><name xml:lang="en"><surname>Kdralieva</surname><given-names>N. V.</given-names></name><name xml:lang="ru"><surname>Кдралиева</surname><given-names>Н. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cardiovascular Surgeon</p></bio><bio xml:lang="ru"><p>сердечно-сосудистый хирург</p></bio><email>nurslu.kdralieva@mail.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0466-175X</contrib-id><name-alternatives><name xml:lang="en"><surname>Kuchumov</surname><given-names>A. G.</given-names></name><name xml:lang="ru"><surname>Кучумов</surname><given-names>А. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>DSc (Physics and Mathematics), Professor of the Department of Computational Mathematics, Mechanics and Biomechanics, Head of Biofluids Laboratory</p></bio><bio xml:lang="ru"><p>доктор физико-математических наук, профессор кафедры вычислительной математики, механики и биомеханики, заведующий лабораторией биожидкостей</p></bio><email>nurslu.kdralieva@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Asanbayev</surname><given-names>Ch. Z.</given-names></name><name xml:lang="ru"><surname>Асанбаев</surname><given-names>Ч. З.</given-names></name></name-alternatives><address><country country="KG">Kyrgyzstan</country></address><bio xml:lang="en"><p>Interventional Cardiologist</p></bio><bio xml:lang="ru"><p>интервенционный кардиолог</p></bio><email>nurslu.kdralieva@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7097-8771</contrib-id><name-alternatives><name xml:lang="en"><surname>Orehova</surname><given-names>E. N.</given-names></name><name xml:lang="ru"><surname>Орехова</surname><given-names>Е. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>DSc (Medicine), Associate Professor of the Department of Hospital Therapy and Cardiology</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, доцент кафедры госпитальной терапии и кардиологии</p></bio><email>nurslu.kdralieva@mail.ru</email><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">FCCS named after S.G. Sukhanov</institution></aff><aff><institution xml:lang="ru">Федеральный центр сердечно-сосудистой хирургии имени С.Г. Суханова</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Perm National Research Polytechnic University</institution></aff><aff><institution xml:lang="ru">Пермский национальный исследовательский политехнический университет</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Cardio Asia Plus Medical Center</institution></aff><aff><institution xml:lang="ru">Медицинский центр «Кардио Азия Плюс»</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Ye.A. Vagner Perm State Medical University</institution></aff><aff><institution xml:lang="ru">Пермский государственный медицинский университет имени академика Е.А. Вагнера</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-11-14" publication-format="electronic"><day>14</day><month>11</month><year>2025</year></pub-date><volume>42</volume><issue>5</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>46</fpage><lpage>57</lpage><history><date date-type="received" iso-8601-date="2025-09-08"><day>08</day><month>09</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Эко-Вектор</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://permmedjournal.ru/PMJ/article/view/690228">https://permmedjournal.ru/PMJ/article/view/690228</self-uri><abstract xml:lang="en"><p>The objective of this review is to conduct a literature- based comparative analysis of the outcomes of cardioneuroablation and pacemaker implantation in cardioinhibitory vasovagal syncope.</p></abstract><trans-abstract xml:lang="ru"><p>Провести сравнительный анализ результатов кардионейроабляции и имплантации электрокардиостимулятора при кардиоингибиторных вазовагальных обмороках на основании данных литературы.</p></trans-abstract><kwd-group xml:lang="en"><kwd>cardioneuroablation</kwd><kwd>pacemaker implantation</kwd><kwd>syncope</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>кардионейроабляция</kwd><kwd>электрокардиостимуляция</kwd><kwd>обмороки</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Министерство науки и высшего образования Российской Федерации</institution></institution-wrap><institution-wrap><institution xml:lang="en">Ministry of Science and Higher Education of the Russian Federation</institution></institution-wrap></funding-source><award-id>FSNM-2024-0009</award-id></award-group><funding-statement xml:lang="en">The research was conducted with financial support from the Ministry of Science and Higher Education of the Russian Federation (project No. FSNM-2024-0009)</funding-statement><funding-statement xml:lang="ru">Исследования выполнены при финансовой поддержке Министерства науки и высшего образования Российской Федерации (проект № FSNM-2024-0009)</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Serletis A., Rose S., Sheldon A.G., Sheldon R.S. 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