Radiofrequency ablation-induced asystole during transaortic approach for a left anterolateral accessory pathway: A Bezold-Jarisch-like phenomenon

Ching Fung Tsai, Shih A. Chen, Chern E. Chiang, Ching T. Tai, Shih Huang Lee, Zu Chin Wen, Yi J. Chen, Wen Chung Yu, Jin Long Huang, An Ning Feng, Mau Song Chang

研究成果: 雜誌貢獻文章

14 引文 斯高帕斯(Scopus)

摘要

We present a case of cardiac asystole induced by radiofrequency catheter ablation of a left anterolateral accessory pathway in a 28-year-old woman with Wolff-Parkinson-White syndrome who was experiencing recurrent palpitation. Radiofrequency current applied on the ventricular aspect of the mitral annulus corresponding to the aforementioned site provoked profound slowing of the sinus rate preceded by disappearance of the preexcitation, and then asystole ensued. The proposed causal mechanism was a reflexogenically mediated hypotension-bradycardia syndrome (Bezold-Jarisch-like phenomenon) through stimulation of either nearby vagal afferent pathways or sensory terminal receptors at the ablation site.

原文英語
頁(從 - 到)694-699
頁數6
期刊Journal of Cardiovascular Electrophysiology
8
發行號6
出版狀態已發佈 - 1997
對外發佈Yes

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

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    Tsai, C. F., Chen, S. A., Chiang, C. E., Tai, C. T., Lee, S. H., Wen, Z. C., Chen, Y. J., Yu, W. C., Huang, J. L., Feng, A. N., & Chang, M. S. (1997). Radiofrequency ablation-induced asystole during transaortic approach for a left anterolateral accessory pathway: A Bezold-Jarisch-like phenomenon. Journal of Cardiovascular Electrophysiology, 8(6), 694-699.