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Excessive vagal response during left atrial ablation in a patient with paroxysmal atrial fibrillation
Michalis Efremidis1, Konstantinos P Letsas, Lukas Pappas
1Second Department of Cardiology, Evangelismos General Hospital, Athens, Greece. micbcar@otenet.gr
Abstract:
Vagal reflexes can be induced by stimulation of select epicardial and endocardial areas of the left atrium. The present report describes the case of a 54-year-old woman with a history of recurrent symptomatic episodes of paroxysmal atrial fibrillation. During radiofrequency application around the left superior pulmonary vein, the patient exhibited an excessive vagal response with a sinus pause of 17 s.
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