Lewalter T, Burkhardt D, Chun S, Schimpf R, Bielik H, Schrickell J, Shlevkov N, Yang A, Lüderitz B
Department of Medicine-Cardiology, University of Bonn, Germany.
Europace. 2002 Oct;4(4):411-5. doi: 10.1053/eupc.2002.0254.
We report a case study demonstrating delayed circumferential intrapulmonary-venous conduction characteristics during coronary sinus extrastimulus pacing. This phenomenon allowed the unmasking and discrimination of a localized left atrial to PV breakthrough from secondarily activated PV muscle in a common left-sided PV ostium. Thus, this pacing manoeuvre may serve to guide RF delivery in the treatment of focal AF.