Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin Pregnancy

We describe a patient presenting with incessant ectopic atrial tachycardia during a high risk twin pregnancy. Tachycardia was resistant to escalating doses of beta-blockade with digoxin. Because of increasing left ventricular dysfunction early in the third trimester, catheter ablation was performed...

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Main Authors: Dr Zia Zuberi, BSc PhD MRCP, John Silberbauer, MD MRCP, Francis Murgatroyd, MD FRCP
Format: Article
Language:English
Published: Elsevier 2014-01-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629216307124
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spelling doaj-28024b7108384fe98c3c756d56ec512d2020-11-24T23:58:50ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922014-01-01141263110.1016/S0972-6292(16)30712-4Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin PregnancyDr Zia Zuberi, BSc PhD MRCPJohn Silberbauer, MD MRCPFrancis Murgatroyd, MD FRCPWe describe a patient presenting with incessant ectopic atrial tachycardia during a high risk twin pregnancy. Tachycardia was resistant to escalating doses of beta-blockade with digoxin. Because of increasing left ventricular dysfunction early in the third trimester, catheter ablation was performed successfully at 30 weeks gestation. Electro-anatomic mapping permitted the entire procedure to be conducted without the use of ionizing radiation. The pregnancy proceeded to successful delivery near term and after three years the patient remains recurrence free with normal left ventricular function, off all medication.http://www.sciencedirect.com/science/article/pii/S0972629216307124Ectopic atrial tachycardiaTachycardia-cardiomyopathyTwin pregnancy
collection DOAJ
language English
format Article
sources DOAJ
author Dr Zia Zuberi, BSc PhD MRCP
John Silberbauer, MD MRCP
Francis Murgatroyd, MD FRCP
spellingShingle Dr Zia Zuberi, BSc PhD MRCP
John Silberbauer, MD MRCP
Francis Murgatroyd, MD FRCP
Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin Pregnancy
Indian Pacing and Electrophysiology Journal
Ectopic atrial tachycardia
Tachycardia-cardiomyopathy
Twin pregnancy
author_facet Dr Zia Zuberi, BSc PhD MRCP
John Silberbauer, MD MRCP
Francis Murgatroyd, MD FRCP
author_sort Dr Zia Zuberi, BSc PhD MRCP
title Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin Pregnancy
title_short Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin Pregnancy
title_full Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin Pregnancy
title_fullStr Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin Pregnancy
title_full_unstemmed Successful Non-fluoroscopic Radiofrequency Ablation of Incessant Atrial Tachycardia in a High Risk Twin Pregnancy
title_sort successful non-fluoroscopic radiofrequency ablation of incessant atrial tachycardia in a high risk twin pregnancy
publisher Elsevier
series Indian Pacing and Electrophysiology Journal
issn 0972-6292
publishDate 2014-01-01
description We describe a patient presenting with incessant ectopic atrial tachycardia during a high risk twin pregnancy. Tachycardia was resistant to escalating doses of beta-blockade with digoxin. Because of increasing left ventricular dysfunction early in the third trimester, catheter ablation was performed successfully at 30 weeks gestation. Electro-anatomic mapping permitted the entire procedure to be conducted without the use of ionizing radiation. The pregnancy proceeded to successful delivery near term and after three years the patient remains recurrence free with normal left ventricular function, off all medication.
topic Ectopic atrial tachycardia
Tachycardia-cardiomyopathy
Twin pregnancy
url http://www.sciencedirect.com/science/article/pii/S0972629216307124
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