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Transition during radiofrequency ablation of manifest preexcitation. What is the mechanism?

Authors :
Sanjay Ganapathi
Ajitkumar Valaparambil
Krishna Kumar Mohanan Nair
Narayanan Namboodiri
Source :
Journal of Electrocardiology. 66:49-53
Publication Year :
2021
Publisher :
Elsevier BV, 2021.

Abstract

A 45-year-old lady was evaluated for recurrent episodes of palpitation. Her 12‑lead electrocardiogram (ECG) showed manifest but incomplete pre-excitation consistent with left sided accessory pathway. There was no structural heart disease by echocardiogram. She underwent an electrophysiology (EP) study after informed consent. A narrow QRS tachycardia consistent with orthodromic AV re-entry got induced. The accessory pathway was mapped to 2 ‘O clock of the mitral annulus (MA). While radio frequency ablation (RFA) was being performed at that site, an interesting phenomenon was observed ( Fig. 1 , Fig. 2 ). What is the mechanism?

Details

ISSN :
00220736
Volume :
66
Database :
OpenAIRE
Journal :
Journal of Electrocardiology
Accession number :
edsair.doi.dedup.....1ab8e9ca8c56f9fa56abc97c409ed22f
Full Text :
https://doi.org/10.1016/j.jelectrocard.2021.02.016