Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation

We present the long-term follow-up of a 31-year-old woman who underwent cardioneuroablation (for atrioventricular (AV) block. Slow pathway ablation was performed in September 2017 with normal follow-up until April 2018, when the patient started noticing symptoms of palpitations at rest, and the elec...

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Main Authors: Fabricio Sarmento Vassallo, MD, Lucas Luis Meigre, BS, Edevaldo da Silva, BS, Eduardo Giestas Serpa, MD, Christiano Lemos da Cunha, MD, Aloyr Gonçalves Simões, Jr., MD, Hermes Carloni, MD, Carlos Alexandre Volponi Lovato, MD
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920309839
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author Fabricio Sarmento Vassallo, MD
Lucas Luis Meigre, BS
Edevaldo da Silva, BS
Eduardo Giestas Serpa, MD
Christiano Lemos da Cunha, MD
Aloyr Gonçalves Simões, Jr., MD
Hermes Carloni, MD
Carlos Alexandre Volponi Lovato, MD
author_facet Fabricio Sarmento Vassallo, MD
Lucas Luis Meigre, BS
Edevaldo da Silva, BS
Eduardo Giestas Serpa, MD
Christiano Lemos da Cunha, MD
Aloyr Gonçalves Simões, Jr., MD
Hermes Carloni, MD
Carlos Alexandre Volponi Lovato, MD
author_sort Fabricio Sarmento Vassallo, MD
collection DOAJ
description We present the long-term follow-up of a 31-year-old woman who underwent cardioneuroablation (for atrioventricular (AV) block. Slow pathway ablation was performed in September 2017 with normal follow-up until April 2018, when the patient started noticing symptoms of palpitations at rest, and the electrocardiogram showed a Mobitz I AV block. A cardiac stress test and 24-h Holter monitoring demonstrated first- and second-degree block and normal AV conduction during times of higher heart rate. (Level of Difficulty: Advanced.)
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spelling doaj.art-1dee8e036d1e4008bbdcea9b330706e22022-12-21T19:20:14ZengElsevierJACC: Case Reports2666-08492020-09-0121117811788Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway AblationFabricio Sarmento Vassallo, MD0Lucas Luis Meigre, BS1Edevaldo da Silva, BS2Eduardo Giestas Serpa, MD3Christiano Lemos da Cunha, MD4Aloyr Gonçalves Simões, Jr., MD5Hermes Carloni, MD6Carlos Alexandre Volponi Lovato, MD7Department of Electrophysiology, Institute of Cardiology of Espirito Santo, Vitoria, Brazil; Department of Cardiology and Interventional Cardiology, Santa Rita Cassia Hospital, Vitoria, Brazil; Address for correspondence: Dr. Fabricio Sarmento Vassallo, Electrophysiology, Institute of Cardiology of Espirito Santo, Rua Taciano Abaurre n. 225, 7th and 8th floors, Enseada do Sua, Vitória, Espirito Santo 29050-470, Brazil.Department of Electrophysiology, Institute of Cardiology of Espirito Santo, Vitoria, BrazilSt. Jude Medical/Abbott, São Paulo, BrazilDepartment of Electrophysiology, Institute of Cardiology of Espirito Santo, Vitoria, Brazil; Department of Cardiology and Interventional Cardiology, Santa Rita Cassia Hospital, Vitoria, BrazilDepartment of Cardiology and Interventional Cardiology, Santa Rita Cassia Hospital, Vitoria, BrazilDepartment of Cardiology and Interventional Cardiology, Santa Rita Cassia Hospital, Vitoria, BrazilDepartment of Cardiology and Interventional Cardiology, Santa Rita Cassia Hospital, Vitoria, BrazilDepartment of Cardiology and Interventional Cardiology, Santa Rita Cassia Hospital, Vitoria, BrazilWe present the long-term follow-up of a 31-year-old woman who underwent cardioneuroablation (for atrioventricular (AV) block. Slow pathway ablation was performed in September 2017 with normal follow-up until April 2018, when the patient started noticing symptoms of palpitations at rest, and the electrocardiogram showed a Mobitz I AV block. A cardiac stress test and 24-h Holter monitoring demonstrated first- and second-degree block and normal AV conduction during times of higher heart rate. (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084920309839ablationbradycardiacardiac pacemakerelectroanatomic mapping
spellingShingle Fabricio Sarmento Vassallo, MD
Lucas Luis Meigre, BS
Edevaldo da Silva, BS
Eduardo Giestas Serpa, MD
Christiano Lemos da Cunha, MD
Aloyr Gonçalves Simões, Jr., MD
Hermes Carloni, MD
Carlos Alexandre Volponi Lovato, MD
Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation
JACC: Case Reports
ablation
bradycardia
cardiac pacemaker
electroanatomic mapping
title Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation
title_full Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation
title_fullStr Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation
title_full_unstemmed Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation
title_short Long-Term Follow-Up of Cardioneuroablation to Treat Second-Degree Block After Slow Pathway Ablation
title_sort long term follow up of cardioneuroablation to treat second degree block after slow pathway ablation
topic ablation
bradycardia
cardiac pacemaker
electroanatomic mapping
url http://www.sciencedirect.com/science/article/pii/S2666084920309839
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