Journal article
Autonomic effects of radiofrequency catheter ablation.
- Duru F Cardiac Arrhythmia Unit, University Hospital of Zurich, Switzerland.
- Bauersfeld U
- Candinas R
- 2001-02-28
Published in:
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. - 2000
English
Radiofrequency (RF) catheter ablation has become the treatment of choice for a variety of supraventricular tachycardias. Autonomic dysfunction may occur during application of RF current; these abnormalities resolve quickly when current delivery is terminated. We present a case of sinus node arrest and AV block in a 69-year-old woman induced by RF catheter ablation of an AV nodal slow pathway. The proposed mechanisms are a Bezold-Jarisch-like phenomenon or paradoxical activation of cardiac C fibres by direct neural sympathetic stimulation or RF-induced myocardial injury. Based on a review of previously published reports, autonomic effects of RF ablation are discussed.
- Language
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- English
- Open access status
- closed
- Identifiers
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- DOI 10.1053/eupc.1999.0087
- PMID 11225945
- Persistent URL
- https://susi.usi.ch/global/documents/13894
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