Persistent Inappropriate Sinus Tachycardia After Radiofrequency Ablation of Left Lateral Accessory Pathway
Open accessAbstract
A patient with palpitations and narrow QRS tachycardia was evaluated. In the EP study an atrioventricular reentrant tachycardia mediated by a left lateral accessory pathway was identified and catheter ablation was performed with success. A week later she returned with palpitations and pre‐syncope. The resting ECG showed a sinus tachycardia with 110 bpm. After unsuccessful clinical treatment with beta‐blockers, diltiazem and digoxin she underwent sinus node modification using radiofrequency catheter ablation with success. We postulated that RF application to ablate the lateral accessory pathway damaged the parasympathetic innervation in the left atrioventricular groove, causing inappropriate sinus tachycardia.
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Radiofrequency catheter ablation to modify the sinus node or eliminate sympathetic inputs, at best, is partially effective.
“Radiofrequency catheter ablation to modify the sinus node or eliminate sympathetic inputs, at best, is partially effective. 10,30,60,61,76-88”
From Inappropriate sinus tachycardia (2019) · cites this paper as [60]
The Introduction reports that sinus node modification brought the patient's heart rate to 75 bpm and that she remained asymptomatic for 34 months. The Discussion suggests the ablation probably damaged sympathetic fibers. This successful case does not support the claim that such ablation is, at best, only partially effective. (LLM, conf=0.82)
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Catheter Cryoablation for the Treatment of Accessory Pathways
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Sinoatrial Nodal Reentrant Tachycardia
Hafeez, Y., & Grossman, S. A. (2021) · StatPearls
- Authors
- MOREIRA, J. M., CURIMBABA, J., FILHO, H. C., & PIMENTA, J.
- Affiliations
- Hospital do Servidor Público Estadual (BR)
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Corresponding author
- MOREIRA, JOSÉ MARCOS
- Venue
- Journal of Cardiovascular Electrophysiology
- Publisher
- Wiley
- Published
- 2006-02-14
- Volume
- 17
- Issue
- 6
- Pages
- 678-681
- ISSN
- 1045-3873 (ISSN-L)
- 1540-8167
- OpenAlex
- W2128956502
- Cited by
- 13
- References
- 12
- Citations by year
- 2022: 1 · 2021: 1 · 2018: 1 · 2016: 2 · 2015: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Cardiovascular Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- inappropriate sinus tachycardia, atrioventricular reentrant tachycardia, left lateral accessory pathway, radiofrequency catheter ablation complications, narrow QRS tachycardia
- MeSH terms
- Adolescent, Female, Ganglia, Parasympathetic, Heart Conduction System, Heart Rate, Humans, Sinoatrial Node, Tachycardia, Atrioventricular Nodal Reentry, Tachycardia, Sinus, Time Factors, Electrocardiography, Ambulatory, Catheter Ablation, Electrophysiologic Techniques, Cardiac
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