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Bezold-Jarisch-Like Phenomenon Induced by Radiofrequency Ablation of a Left Posteroseptal Accessory Pathway via the Coronary Sinus
JÚRG SCHLÄPFER M.D.,
LUKAS KAPPENBERGER M.D.,
MARTIN FROMER M.D.,
Corresponding Author
JÚRG SCHLÄPFER M.D.
Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Address for correspondence: JÜrg Schläpfer, M.D., Division of Cardiology, Centre Hospitalier Universitaire Vaudois, 1011 Lau-sanne, Switzerland. Fax: 41-21-3140013.Search for more papers by this authorLUKAS KAPPENBERGER M.D.
Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Search for more papers by this authorMARTIN FROMER M.D.
Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Search for more papers by this authorJÚRG SCHLÄPFER M.D.,
LUKAS KAPPENBERGER M.D.,
MARTIN FROMER M.D.,
Corresponding Author
JÚRG SCHLÄPFER M.D.
Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Address for correspondence: JÜrg Schläpfer, M.D., Division of Cardiology, Centre Hospitalier Universitaire Vaudois, 1011 Lau-sanne, Switzerland. Fax: 41-21-3140013.Search for more papers by this authorLUKAS KAPPENBERGER M.D.
Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Search for more papers by this authorMARTIN FROMER M.D.
Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
Search for more papers by this authorAbstract
RF Ablation-Induced Bezold-Jarisch Phenomenon. We report a case of asystole induced by radiofrequency (RF) ablation via the coronary sinus in a 35-year-old man suffering from symptomatic left posteroseptal accessory pathway. RF application provoked progressive slowing of the sinus rhythm, disappearance of the preexcitation, and an 8-second period of asystole followed by atrial fibrillation. The causal mechanism proposed is a strong stimulation of va-gal afferent pathways linked with sensory endings of the inferoposterior myocardial wall leading to a Bezold-Jarisch-like phenomenon.
References
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