Vagal reflex provoked by radiofrequency catheter ablation in the right aortic sinus cusp: A Bezold-Jarisch-like phenomenon

Takumi Yamada; Yukihiko Yoshida; Yasuya Inden; Toyoaki Murohara; G. Neal Kay

doi:10.1007/s10840-008-9292-4

Vagal reflex provoked by radiofrequency catheter ablation in the right aortic sinus cusp: A Bezold-Jarisch-like phenomenon

Takumi Yamada, Yukihiko Yoshida, Yasuya Inden, Toyoaki Murohara, G. Neal Kay

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

A 66-year-old woman with idiopathic premature ventricular contractions with a left bundle branch block QRS morphology and left inferior axis underwent electrophysiologic testing. Successful radiofrequency ablation was achieved in the right coronary cusp (RCC). However, radiofrequency ablation at sites adjacent to the successful ablation site provoked sinus bradycardia followed by atrioventricular conduction block. That phenomenon might be explained by a vagal reflex through stimulation of vagal pathways or receptors in the anterior epicardial fat pads neighboring to the RCC. A vagal reflex should be kept in mind as a complication during catheter ablation of ventricular arrhythmias originating from the RCC.

Original language	English (US)
Pages (from-to)	199-204
Number of pages	6
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	23
Issue number	3
DOIs	https://doi.org/10.1007/s10840-008-9292-4
State	Published - Dec 2008
Externally published	Yes

Bibliographical note

Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.

Keywords

Premature ventricular contraction
Radiofrequency catheter ablation
Right aortic sinus cusp
Vagal reflex

Publisher link

10.1007/s10840-008-9292-4

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title = "Vagal reflex provoked by radiofrequency catheter ablation in the right aortic sinus cusp: A Bezold-Jarisch-like phenomenon",

abstract = "A 66-year-old woman with idiopathic premature ventricular contractions with a left bundle branch block QRS morphology and left inferior axis underwent electrophysiologic testing. Successful radiofrequency ablation was achieved in the right coronary cusp (RCC). However, radiofrequency ablation at sites adjacent to the successful ablation site provoked sinus bradycardia followed by atrioventricular conduction block. That phenomenon might be explained by a vagal reflex through stimulation of vagal pathways or receptors in the anterior epicardial fat pads neighboring to the RCC. A vagal reflex should be kept in mind as a complication during catheter ablation of ventricular arrhythmias originating from the RCC.",

keywords = "Premature ventricular contraction, Radiofrequency catheter ablation, Right aortic sinus cusp, Vagal reflex",

author = "Takumi Yamada and Yukihiko Yoshida and Yasuya Inden and Toyoaki Murohara and Kay, {G. Neal}",

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T1 - Vagal reflex provoked by radiofrequency catheter ablation in the right aortic sinus cusp

T2 - A Bezold-Jarisch-like phenomenon

AU - Yamada, Takumi

AU - Yoshida, Yukihiko

AU - Inden, Yasuya

AU - Murohara, Toyoaki

AU - Kay, G. Neal

PY - 2008/12

Y1 - 2008/12

N2 - A 66-year-old woman with idiopathic premature ventricular contractions with a left bundle branch block QRS morphology and left inferior axis underwent electrophysiologic testing. Successful radiofrequency ablation was achieved in the right coronary cusp (RCC). However, radiofrequency ablation at sites adjacent to the successful ablation site provoked sinus bradycardia followed by atrioventricular conduction block. That phenomenon might be explained by a vagal reflex through stimulation of vagal pathways or receptors in the anterior epicardial fat pads neighboring to the RCC. A vagal reflex should be kept in mind as a complication during catheter ablation of ventricular arrhythmias originating from the RCC.

AB - A 66-year-old woman with idiopathic premature ventricular contractions with a left bundle branch block QRS morphology and left inferior axis underwent electrophysiologic testing. Successful radiofrequency ablation was achieved in the right coronary cusp (RCC). However, radiofrequency ablation at sites adjacent to the successful ablation site provoked sinus bradycardia followed by atrioventricular conduction block. That phenomenon might be explained by a vagal reflex through stimulation of vagal pathways or receptors in the anterior epicardial fat pads neighboring to the RCC. A vagal reflex should be kept in mind as a complication during catheter ablation of ventricular arrhythmias originating from the RCC.

KW - Premature ventricular contraction

KW - Radiofrequency catheter ablation

KW - Right aortic sinus cusp

KW - Vagal reflex

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Vagal reflex provoked by radiofrequency catheter ablation in the right aortic sinus cusp: A Bezold-Jarisch-like phenomenon

Abstract

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