Research articles: ElectrophysiologyHypnosis as an effective and inexpensive option to control pain in transcatheter ablation of cardiac arrhythmiasBarbero, Umbertoa,c; Ferraris, Federicoa; Muro, Milenab; Budano, Carloa; Anselmino, Matteoa; Gaita, FiorenzoaAuthor Information aDivision of Cardiology, Cardio-Thoracic Department bPain Therapy and Palliative Care, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino cCardiovascular Biomedical Research Unit, Royal Brompton Hospital, London, England, Turin, Italy Correspondence to Umberto Barbero, MD, Division of Cardiology, Cardio-Thoracic Department, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino – Corso A. M. Dogliotti, 14, 10126 Torino, Italy Tel: +39 0116336023; e-mail: [email protected] Received 7 June, 2017 Revised 16 July, 2017 Accepted 19 November, 2017 Journal of Cardiovascular Medicine: January 2018 - Volume 19 - Issue 1 - p 18-21 doi: 10.2459/JCM.0000000000000605 Buy Metrics Abstract Supportive care for pain relief and back discomfort during electrophysiology interventions is usually needed in the electrophysiology lab, especially in long-lasting procedures like atrial fibrillation ablation. Although this is usually achieved with conventional pharmacologic anesthesia, hypnosis has recently aroused interest as a reliable tool to complement and possibly enhance conscious sedation. We collected five case of percutaneous arrhythmia ablation in which, after informed consent, hypnosis was performed by nurse anesthetists in the cath lab. In each case at the end of the intervention, the patients described complete alterations of perception or memory of the pain or of the length of the study. No anesthetic drug was needed. While waiting for more robust data, we suggest hypnosis could be a reliable, inexpensive and well tolerated tool to obtain complete pain control and comfort during arrhythmia ablation. © 2018 Italian Federation of Cardiology. All rights reserved.