Cardioneuroablation in a patient with atrioventricular nodal re-entrant tachycardia

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Date
2018-12
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OXFORD UNIV PRESS, GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND
Abstract
We present the case of a 32-year-old female patient with a history of chronic fatigue resulting from functional disorder of the sinoatrial (SA) and atrioventricular (AV) nodes, in addition to palpitations due to paroxysmal supraventricular tachycardia. During electrophysiological study, significant sinus and junctional bradycardia were seen and typical AV nodal reentrant tachycardia (AVNRT) induced. Due to transient complete AV block following the first radiofrequency energy application at the slow pathway region, the procedure was abandoned. However, the patient was offered a repeat procedure aiming at modulating the SA and AV nodal function with cardioneuroablation, with subsequent ablation of AVNRT.
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atrioventricular nodal reentry, tachycardia
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