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Ivabradine as a treatment option for junctional ectopic tachycardia in an adult female.
- Source :
-
Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2024 May; Vol. 47 (5), pp. 679-682. Date of Electronic Publication: 2023 Aug 31. - Publication Year :
- 2024
-
Abstract
- A Junctional ectopic tachycardia diagnosis was performed using two electrophysiological maneuvers in an adult female with a narrow-complex supraventricular tachycardia with a bystander AV-node slow pathway conduction, who previously underwent catheter ablation attempts for an atrio-ventricular nodal re-entrant tachycardia misdiagnosis. The first maneuver was atrial entrainment with an atrial-His-His-atrial response. The second was based on the response to a premature atrial complex delivered at different phases of the tachycardia cycle confirming that anterograde slow pathway conduction and retrograde fast pathway were not involved. Considering that verapamil, diltiazem, bisoprolol + flecainide, and nadolol were ineffective, we tried ivabradine with no sustained arrhythmias during 18-months.<br /> (© 2023 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals LLC.)
Details
- Language :
- English
- ISSN :
- 1540-8159
- Volume :
- 47
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Pacing and clinical electrophysiology : PACE
- Publication Type :
- Academic Journal
- Accession number :
- 37650463
- Full Text :
- https://doi.org/10.1111/pace.14812