Influence of circumferential pulmonary vein isolation for atrial fibrillation on ST elevation in patient with Brugada syndrome.

Abstract:

:We present a patient with Brugada syndrome and paroxysmal atrial fibrillation who underwent circumferential pulmonary vein isolation. His electrocardiogram showed normal sinus rhythm and first-degree AV block (P-R 280 ms) with coved-type ST elevation in V1-2 (+2.0 mm) before ablation. During ablation around the left pulmonary vein ostium, atrial fibrillation, progression of ST elevation (+4.5 mm), and T wave alternans occurred. After right pulmonary vein encirclement was complete, ST elevation improved to +1.0 mm. The following day, the ST segments remained lower than baseline levels.

journal_name

Int J Cardiol

authors

Tomita T,Aizawa K,Shimada K,Motoki H,Otagiri K,Koshikawa M,Kasai H,Izawa A,Kumazaki S,Tsutsui H,Koyama J,Ikeda U

doi

10.1016/j.ijcard.2009.04.010

subject

Has Abstract

pub_date

2011-06-02 00:00:00

pages

e82-e84

issue

2

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(09)00466-5

journal_volume

149

pub_type

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