loading page

Recurrences of tachycardia after repeated slow pathway ablation: What is the diagnosis?
  • Soorampally Vijay,
  • Harshad Shah,
  • Yash Lokhandawala
Soorampally Vijay
The Royal Hospital Department of Cardiology

Corresponding Author:soorampallivijay8@gmail.com

Author Profile
Harshad Shah
The Royal Hospital Department of Cardiology
Author Profile
Yash Lokhandawala
The Royal Hospital Department of Cardiology
Author Profile

Abstract

A 30-year-old man with a structurally normal heart was referred to us with a 2-year history of recurrent episodes of rapid paroxysmal palpitations. A few episodes required hospitalization and were terminated with intravenous diltiazem. During electrophysiology (EP) study done twice before in other hospitals, the patient was diagnosed as typical atrioventricular nodal reentrant tachycardia (AVNRT) and underwent radiofrequency ablation of the slow pathway. However, the episodes recurred.  Because of the patient’s persistent symptoms, an EP study was performed again. Tachycardia was easily induced using atrial extrastimuli, ventricular extrastimuli and with rapid atrial pacing.
21 Jul 2022Submitted to Journal of Cardiovascular Electrophysiology
21 Jul 2022Submission Checks Completed
21 Jul 2022Assigned to Editor
25 Jul 2022Review(s) Completed, Editorial Evaluation Pending
27 Jul 2022Editorial Decision: Revise Minor
06 Sep 20221st Revision Received
20 Oct 2022Review(s) Completed, Editorial Evaluation Pending
20 Oct 2022Submission Checks Completed
20 Oct 2022Assigned to Editor
27 Oct 2022Editorial Decision: Accept
15 Nov 2022Published in Journal of Cardiovascular Electrophysiology. 10.1111/jce.15738