Takahashi Masafumi, Mitsuhashi Takeshi, Hashimoto Toru, Ebisawa Katsuto, Fujikawa Hideyuki, Ikeda Uichi, Shimada Kazuyuki
Department of Cardiology, Jichi Medical School, Tochigi, Japan.
Circ J. 2002 Nov;66(11):1073-5. doi: 10.1253/circj.66.1073.
Atrioventricular (AV) block following radiofrequency (RF) ablation for the treatment of AV nodal re-entrant tachycardia (AVNRT) is a rare but serious complication of this procedure. Almost all such cases occur during or immediately after radiofrequencey (RF) energy application, followed by prompt recovery. The present report describes a 22-year-old woman with first-degree AV block on electrocardiography, who developed complete AV block 1 week after RF ablation for the treatment of the uncommon form of AVNRT (slow/slow). The patient's complete AV block persisted for another 1 week before she recovered.
射频消融治疗房室结折返性心动过速(AVNRT)后发生的房室(AV)阻滞是该手术罕见但严重的并发症。几乎所有此类病例都发生在射频(RF)能量施加期间或之后立即出现,随后迅速恢复。本报告描述了一名22岁女性,心电图显示一度房室阻滞,在射频消融治疗罕见形式的AVNRT(慢/慢型)1周后发生了完全性房室阻滞。患者的完全性房室阻滞持续了另外1周后才恢复。