Resolution of severe cardiomyopathy after catheter ablation of an anteroseptal accessory pathway: A case report.

Autor: Baqal OJ; Department of Internal Medicine, Mayo Clinic, Phoenix, Arizona, USA., Ladia VM; Self Regional Healthcare, Greenwood, South Carolina, USA., El Masry H; Department of Cardiovascular Diseases, Mayo Clinic, Phoenix, Arizona, USA.
Jazyk: angličtina
Zdroj: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc [Ann Noninvasive Electrocardiol] 2023 Mar; Vol. 28 (2), pp. e13001. Date of Electronic Publication: 2022 Aug 08.
DOI: 10.1111/anec.13001
Abstrakt: In patients with non-sustained tachyarrhythmias, left ventricular (LV) systolic dysfunction is uncommon. The role of catheter ablation (CA) in asymptomatic patients with tachyarrhythmia remains unclear. We report a 20-year-old patient without sustained tachyarrhythmia with a left ventricular ejection fraction of 20% who underwent radiofrequency catheter ablation (RFCA) of anteroseptal accessory pathway. She achieved normalization of left ventricular systolic function noted on echocardiography performed at 4 weeks post-ablation. Our case highlights significant improvement in LV systolic function after catheter ablation of an "asymptomatic" ventricular pre-excitation. Current guidelines do not endorse ablating asymptomatic patients, but careful follow-up with serial echocardiograms might be warranted. Prophylactic ablation of those patients with clear evidence of LV dyssynchrony or wide left bundle branch pattern and persistent pre-excitation is worth further consideration.
(© 2022 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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