ST-Segment Elevation Associated with Mobitz II Atrioventricular Block During Transseptal Puncture for Atrial Fibrillation Ablation
作者： Paula Damasco do Vale , Lívia Teixeira Martins e Silva , Jairo Macedo da Rocha , Carla Septimio Margalho , Henrique César de Almeida Maia
关键词: Internal medicine 、 Catheter ablation 、 Atropine 、 Cardiology 、 Ablation 、 Complication 、 Atrial fibrillation 、 Mobitz II atrioventricular block 、 ST segment 、 Medicine 、 Electrocardiography
摘要: Pulmonary veins electrical isolation as an invasive treatment of atrial fibrillation has been widely used in electrophysiology laboratories. This case report presents a rare and transient complication, during transseptal puncture for ablation. ST-segment elevation, hypotension bradyarrhythmia related to catheterization were observed despite cineangiocoronariography without obstructive lesions. Clinical stability was achieved after administration intravenous atropine saline solution. It is speculated that the phenomenon attributed increased vagal tone mechanical effect interatrial network. The procedure completed phenomenon.
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