Ablating the Imperceptible: A Novel Application of Para‐Hisian Pacing | Zendy

IP JAMES E. | Zendy; CHEUNG JIM W. | Zendy; LIU CHRISTOPHER F. | Zendy; THOMAS GEORGE | Zendy; MARKOWITZ STEVEN M. | Zendy; LERMAN BRUCE B. | Zendy

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Ablating the Imperceptible: A Novel Application of Para‐Hisian Pacing

Author(s) -

IP JAMES E.,

CHEUNG JIM W.,

LIU CHRISTOPHER F.,

THOMAS GEORGE,

MARKOWITZ STEVEN M.,

LERMAN BRUCE B.

Publication year - 2016

Publication title -

pacing and clinical electrophysiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.686

H-Index - 101

eISSN - 1540-8159

pISSN - 0147-8389

DOI - 10.1111/pace.12898

Subject(s) - medicine , ablation , atrioventricular node , atrioventricular block , cardiology , atrial fibrillation , ventricular rate , ventricular pacing , block (permutation group theory) , heart failure , tachycardia , sinus rhythm , geometry , mathematics

In some elderly patients with atrial fibrillation, especially in combination with heart failure, a rate control strategy may be preferred. When pharmacological therapy is ineffective or not tolerated, it is reasonable to perform atrioventricular (AV) node ablation with ventricular pacing. We describe a case in which this approach was necessary for management. However, the presence of periprocedural, drug‐induced AV block just before ablation provided a unique and challenging circumstance. We discuss the steps taken to ensure a successful procedure.

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