Arrhythmogenicity of radiofrequency ablation: Symptomatic non-sustained ventricular tachycardia and frequent premature ventricular ectopics after accessory pathway ablation

Arrhythmogenicity of radiofrequency ablation: Symptomatic non-sustained ventricular tachycardia and frequent premature ventricular ectopics after accessory pathway ablation

Radiofrequency ablation (RFA) has emerged as the preferred treatment modality with high success rate in cases with WPW syndrome. Arrhythmogenic complications are rarely reported after RFA, except for early or late recurrence of accessory pathway (AP) conduction. We present a unique case where the AP...

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Bibliographic Details
Main Authors: Debabrata Bera, Suchit Majumder, Rakesh Sarkar, Ayan Kar, Sanjeev S. Mukherjee
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Accessory pathway
Arrhythmia
Premature ventricular contractions
Post RFA
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629220301509
Description
Summary:Radiofrequency ablation (RFA) has emerged as the preferred treatment modality with high success rate in cases with WPW syndrome. Arrhythmogenic complications are rarely reported after RFA, except for early or late recurrence of accessory pathway (AP) conduction. We present a unique case where the AP was successfully ablated, however, a new monomorphic PVC of similar morphology to the pre-excited beats developed within 30 min of RFA. She required medical management with sotalol to overcome her worsening symptom on follow-up. The ectopics resolved after 4 months.
ISSN:0972-6292

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