Efremidis Michalis, Letsas Konstantinos P, Pappas Lukas, Filippatos Gerasimos, Sideris Antonis, Kardaras Fotios
Second Department of Cardiology, Evangelismos General Hospital, Athens, Greece.
Hellenic J Cardiol. 2009 May-Jun;50(3):227-9.
Vagal reflexes can be induced by stimulation of select epicardial and endocardial areas of the left atrium. The present report describes the case of a 54-year-old woman with a history of recurrent symptomatic episodes of paroxysmal atrial fibrillation. During radiofrequency application around the left superior pulmonary vein, the patient exhibited an excessive vagal response with a sinus pause of 17 s.