Severe ST-segment elevation and AV block during pulsed-field ablation due to vasospastic angina - a novel observation.
J Interv Card Electrophysiol
; 67(4): 675-677, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38652213
ABSTRACT
Catheter ablation of atrial fibrillation using non-thermal electroporation represents a promising ablation modality due to its believed superior safety profile. Still, if electroporation is delivered in proximity to a coronary artery, vasospasms can occur. We report the first case of severe right coronary artery vasospasm resulting in ST-segment elevation and AV block despite a remote distance from the ablation site to the right coronary artery, indicating a different mechanism. In this case, electroporation most likely triggered a previously unknown Prinzmetal vasospastic angina in the patient, resulting in the coronary vasospasm. Thus, meticulous monitoring of ST-segment changes following PFA delivery even from regions remote to coronary arteries is required.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Atrial Fibrillation
/
Catheter Ablation
/
Coronary Vasospasm
/
Electrocardiography
/
Atrioventricular Block
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Interv Card Electrophysiol
Journal subject:
CARDIOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
Germany
Country of publication:
Netherlands