Left atrial 'sludge' during vagally mediated pause triggered by pulmonary vein antral ablation.

Autor: Khaykin Y; Heart Rhythm Program, Division of Cardiology, Southlake Regional Health Center, Newmarket, ON, Canada. y.khaykin@utoronto.ca, Wulffhart ZA, Verma A
Jazyk: angličtina
Zdroj: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology [Europace] 2011 Dec; Vol. 13 (12), pp. 1797-8. Date of Electronic Publication: 2011 Jul 01.
DOI: 10.1093/europace/eur203
Abstrakt: We report a case of a patient with long-standing persistent atrial fibrillation (AF) who had rapid formation of spontaneous echo-contrast in the left atrium during pulmonary vein antrum isolation set off by a vagally mediated pause despite standard anticoagulation protocol. Spontaneous echo contrast resolved with ventricular pacing, representing visual evidence for dependence of some AF patients with poor atrial transport function on ventricular emptying with potential greater risk of thromboembolism related to a long ventricular pause.
Databáze: MEDLINE