Recording the Accessory His Bundle Potential from a Right Atriofascicular Accessory Pathway.
1Heart Rhythm Institute, University of Oklahoma College of Medicine, 1200 Everett Drive, Rm 6E-103, Oklahoma City, OK 73104, USA.
Cardiac Electrophysiology Clinics
|November 14, 2016
Summary
Catheter ablation successfully treated a 42-year-old man with recurrent rapid palpitations caused by a right atriofascicular accessory pathway. The procedure prevented tachycardia recurrence, offering a long-term solution.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Case Reports
Background:
- Accessory pathways can cause supraventricular tachycardia.
- Right atriofascicular accessory pathways are a less common cause of tachycardia.
- Recurrent palpitations significantly impact patient quality of life.
Observation:
- A 42-year-old male presented with a history of episodic rapid palpitations.
- Electrocardiographic recordings identified an accessory pathway near the lateral tricuspid annulus.
- The accessory pathway was confirmed to be right atriofascicular.
Findings:
- Successful catheter ablation of the identified right atriofascicular accessory pathway was performed.
- The patient experienced no recurrence of tachycardia post-ablation.
- This indicates the efficacy of ablation for this specific pathway type.
Implications:
- Catheter ablation is a viable and effective treatment for right atriofascicular accessory pathway-mediated tachycardia.
- This case highlights the importance of precise electrophysiological mapping and ablation.
- Successful ablation offers a durable, recurrence-free outcome for patients with this condition.
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