Radiofrequency catheter ablation of junctional ectopic tachycardia in adults

Junctional ectopic tachycardia is an arrhythmia seen principally in infants and children, in adults it is even more rare and is difficult to treat with antiarrhythmic drugs and is associated with a poor prognosis. To our knowledge, there is not information about treatment with nonpharmacological methods in adults. We report two adult patients with junctional ectopic tachycardia who underwent successful radiofrequency catheter ablation of the automatic focus located in the His bundle region. The tachycardia was eliminated in both patients with AV block in one and the AV conduction was preserved in the other. After six and 48 months of follow-up both patients are asymptomatic and free of recurrences.