ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation
Pulmonary veins electrical isolation as an invasive treatment of atrial fibrillation has been widely used in electrophysiology laboratories. This case report presents a rare and transient complication, during transseptal puncture for atrial fibrillation ablation. ST-segment elevation, hypotension a...
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| Format: | Article |
| Language: | English |
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Linceu Editorial
2020-11-01
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| Series: | Journal of Cardiac Arrhythmias |
| Subjects: | |
| Online Access: | https://jca.org.br/jca/article/view/3427 |
| _version_ | 1818469319765393408 |
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| author | Paula Damasco do Vale Lívia Teixeira Martins e Silva Jairo Macedo da Rocha Carla Septimio Margalho Henrique César de Almeida Maia |
| author_facet | Paula Damasco do Vale Lívia Teixeira Martins e Silva Jairo Macedo da Rocha Carla Septimio Margalho Henrique César de Almeida Maia |
| author_sort | Paula Damasco do Vale |
| collection | DOAJ |
| description |
Pulmonary veins electrical isolation as an invasive treatment of atrial fibrillation has been widely used in electrophysiology laboratories. This case report presents a rare and transient complication, during transseptal puncture for atrial fibrillation ablation. ST-segment elevation, hypotension and bradyarrhythmia related to catheterization were observed despite cineangiocoronariography without obstructive lesions. Clinical stability was achieved after administration of intravenous atropine and saline solution. It is speculated that the phenomenon is attributed to an increased vagal tone after the mechanical effect of transseptal puncture in the interatrial vagal network. The procedure was completed despite the phenomenon.
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| first_indexed | 2024-04-13T21:22:08Z |
| format | Article |
| id | doaj.art-4db548d6fe894494bf60d36295f12fc7 |
| institution | Directory Open Access Journal |
| issn | 2674-7472 |
| language | English |
| last_indexed | 2024-04-13T21:22:08Z |
| publishDate | 2020-11-01 |
| publisher | Linceu Editorial |
| record_format | Article |
| series | Journal of Cardiac Arrhythmias |
| spelling | doaj.art-4db548d6fe894494bf60d36295f12fc72022-12-22T02:29:27ZengLinceu EditorialJournal of Cardiac Arrhythmias2674-74722020-11-01334ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation AblationPaula Damasco do Vale0Lívia Teixeira Martins e Silva1Jairo Macedo da Rocha2Carla Septimio Margalho3Henrique César de Almeida Maia4Instituto Hospital de Base do Distrito Federal – Brasília/DF – Brazil.Ritmocardio Serviço de Arritmia e Eletrofisiologia de Brasília – Brasília/DF – Brazil.Instituto Hospital de Base do Distrito Federal – Brasília/DF – Brazil / Ritmocardio Serviço de Arritmia e Eletrofisiologia de Brasília – Brasília/DF – Brazil.Instituto Hospital de Base do Distrito Federal – Brasília/DF – Brazil / Ritmocardio Serviço de Arritmia e Eletrofisiologia de Brasília – Brasília/DF – Brazil.Instituto Hospital de Base do Distrito Federal – Brasília/DF – Brazil / Ritmocardio Serviço de Arritmia e Eletrofisiologia de Brasília – Brasília/DF – Brazil. Pulmonary veins electrical isolation as an invasive treatment of atrial fibrillation has been widely used in electrophysiology laboratories. This case report presents a rare and transient complication, during transseptal puncture for atrial fibrillation ablation. ST-segment elevation, hypotension and bradyarrhythmia related to catheterization were observed despite cineangiocoronariography without obstructive lesions. Clinical stability was achieved after administration of intravenous atropine and saline solution. It is speculated that the phenomenon is attributed to an increased vagal tone after the mechanical effect of transseptal puncture in the interatrial vagal network. The procedure was completed despite the phenomenon. https://jca.org.br/jca/article/view/3427Atrial fibrillationPunctureElectrocardiographyCatheter ablation |
| spellingShingle | Paula Damasco do Vale Lívia Teixeira Martins e Silva Jairo Macedo da Rocha Carla Septimio Margalho Henrique César de Almeida Maia ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation Journal of Cardiac Arrhythmias Atrial fibrillation Puncture Electrocardiography Catheter ablation |
| title | ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation |
| title_full | ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation |
| title_fullStr | ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation |
| title_full_unstemmed | ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation |
| title_short | ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation |
| title_sort | st segment elevation associated with mobitz ii atrioventricular block during transseptal puncture for atrial fibrillation ablation |
| topic | Atrial fibrillation Puncture Electrocardiography Catheter ablation |
| url | https://jca.org.br/jca/article/view/3427 |
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