open access

Vol 64, No 11 (2006)
Other
Published online: 2006-12-04
Submitted: 2012-12-28
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Invasive electrophysiology
Symptomatic recurrent bradycardia – always an indication for pacemaker implantation? The role of RF ablation for incessant focal tachycardia from AV node region and advanced AV nodal block

Maria Miszczak-Knecht, Franciszek Walczak, Łukasz Szumowski, Joanna Rękawek, Jadwiga Daszkowska, Agnieszka Kaszuba, Roman Kępski, Katarzyna Bieganowska, Wanda Kawalec
Kardiol Pol 2006;64(11):1316-1320.

open access

Vol 64, No 11 (2006)
Other
Published online: 2006-12-04
Submitted: 2012-12-28

Abstract

We present a case of a 17-year-old patient in whom recurrent bradycardia and syncope episodes were present. During the pathological bradycardia incessant runs of irregular tachycardia from the region of atrial extension of AV node were observed. The bradycardia runs were due to advanced functional AV nodal block. The patient was qualified for pacemaker implantation and antiarrhythmic treatment by his GP. Successful ablation of atrial tachycardia revealed that SA and AV node properties were in the normal range; therefore no pacemaker implantation was needed.

Abstract

We present a case of a 17-year-old patient in whom recurrent bradycardia and syncope episodes were present. During the pathological bradycardia incessant runs of irregular tachycardia from the region of atrial extension of AV node were observed. The bradycardia runs were due to advanced functional AV nodal block. The patient was qualified for pacemaker implantation and antiarrhythmic treatment by his GP. Successful ablation of atrial tachycardia revealed that SA and AV node properties were in the normal range; therefore no pacemaker implantation was needed.
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Keywords

pathological bradycardia; functional advanced AV nodal block; MAS syndrome; irregular AV nodal focal tachycardia

About this article
Title

Invasive electrophysiology
Symptomatic recurrent bradycardia – always an indication for pacemaker implantation? The role of RF ablation for incessant focal tachycardia from AV node region and advanced AV nodal block

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 11 (2006)

Pages

1316-1320

Published online

2006-12-04

Bibliographic record

Kardiol Pol 2006;64(11):1316-1320.

Keywords

pathological bradycardia
functional advanced AV nodal block
MAS syndrome
irregular AV nodal focal tachycardia

Authors

Maria Miszczak-Knecht
Franciszek Walczak
Łukasz Szumowski
Joanna Rękawek
Jadwiga Daszkowska
Agnieszka Kaszuba
Roman Kępski
Katarzyna Bieganowska
Wanda Kawalec

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