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Radiofrequency ablation of a slow pathway in AV-nodal tachycardia

Luc Jordaens UGent, Patrick Vertongen, Eric Germonpré and Denis Clement (1991) ACTA CARDIOLOGICA. 46(6). p.615-619
abstract
A 35-year-old woman with frequent attacks of paroxysmal supraventricular tachycardia and psychiatric background was submitted to ablation of AV-nodal tachycardia. Before ablation, tachycardia with a cycle length of 455 ms was easily induced with regular atrial stimulation or with one extrastimulus. Radiofrequency current (35 Watts) was applied on a site, localized between the His bundle and the ostium of the coronary sinus. The local electrogram showed an atrial activation 20 ms before the atrial activation at the His bundle site during tachycardia. Application terminated AV-nodal tachycardia within 2.5 seconds. Two back-up applications were given during sinus rhythm. At the control study, conduction over the slow pathway was abolished, and the fast conduction remained intact with a Wenckebach 2:1 block point at 180 beats/min. She remained free of recurrences with a follow-up of more than 3 months. The possibility of selective ablation of the slow pathway in AV-nodal tachycardia is discussed.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
ABLATION, AV-NODAL TACHYCARDIA, SUPRAVENTRICAL TACHYCARDIA
journal title
ACTA CARDIOLOGICA
Acta Cardiol.
volume
46
issue
6
pages
615 - 619
Web of Science type
Article
ISSN
0001-5385
language
English
UGent publication?
yes
classification
A1
id
204373
handle
http://hdl.handle.net/1854/LU-204373
date created
2004-01-14 13:42:00
date last changed
2016-12-19 15:38:27
@article{204373,
  abstract     = {A 35-year-old woman with frequent attacks of paroxysmal supraventricular tachycardia and psychiatric background was submitted to ablation of AV-nodal tachycardia. Before ablation, tachycardia with a cycle length of 455 ms was easily induced with regular atrial stimulation or with one extrastimulus. Radiofrequency current (35 Watts) was applied on a site, localized between the His bundle and the ostium of the coronary sinus. The local electrogram showed an atrial activation 20 ms before the atrial activation at the His bundle site during tachycardia. Application terminated AV-nodal tachycardia within 2.5 seconds. Two back-up applications were given during sinus rhythm. At the control study, conduction over the slow pathway was abolished, and the fast conduction remained intact with a Wenckebach 2:1 block point at 180 beats/min. She remained free of recurrences with a follow-up of more than 3 months. The possibility of selective ablation of the slow pathway in AV-nodal tachycardia is discussed.},
  author       = {Jordaens, Luc and Vertongen, Patrick and Germonpr{\'e}, Eric and Clement, Denis},
  issn         = {0001-5385},
  journal      = {ACTA CARDIOLOGICA},
  keyword      = {ABLATION,AV-NODAL TACHYCARDIA,SUPRAVENTRICAL TACHYCARDIA},
  language     = {eng},
  number       = {6},
  pages        = {615--619},
  title        = {Radiofrequency ablation of a slow pathway in AV-nodal tachycardia},
  volume       = {46},
  year         = {1991},
}

Chicago
Jordaens, Luc, Patrick Vertongen, Eric Germonpré, and Denis Clement. 1991. “Radiofrequency Ablation of a Slow Pathway in AV-nodal Tachycardia.” Acta Cardiologica 46 (6): 615–619.
APA
Jordaens, L., Vertongen, P., Germonpré, E., & Clement, D. (1991). Radiofrequency ablation of a slow pathway in AV-nodal tachycardia. ACTA CARDIOLOGICA, 46(6), 615–619.
Vancouver
1.
Jordaens L, Vertongen P, Germonpré E, Clement D. Radiofrequency ablation of a slow pathway in AV-nodal tachycardia. ACTA CARDIOLOGICA. 1991;46(6):615–9.
MLA
Jordaens, Luc, Patrick Vertongen, Eric Germonpré, et al. “Radiofrequency Ablation of a Slow Pathway in AV-nodal Tachycardia.” ACTA CARDIOLOGICA 46.6 (1991): 615–619. Print.