Asystole induced by radiofrequency catheter ablation of slow pathway

ULUS T., GÖRENEK B., Nasifov M., Morrad B.

JOURNAL OF ELECTROCARDIOLOGY, cilt.46, sa.1, ss.57-59, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 46 Sayı: 1
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1016/j.jelectrocard.2012.08.049
  • Dergi Adı: JOURNAL OF ELECTROCARDIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.57-59
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Radiofrequency (RF) catheter ablation is a treatment of choice widely used for a variety of supraventricular tachycardia. Transient sinus and atrioventricular (AV) node dysfunctions may occur during RF application to sites remote from the sinus and AV nodes, but they generally resolve quickly after cessation of RF current. We present a case of two episodes of asystole in a 43-year-old man induced by RF catheter ablation of an AV nodal slow pathway. A Bezold-Jarisch-like reflex, direct stimulation of parasympathetic fibers traveling to the sinus and AV nodes, RF-induced myocardial injury or pain could be responsible for this situation. (C) 2013 Elsevier Inc. All rights reserved.