Kaohsiung Journal of Medical Sciences
Volume 25, Issue 4 , Pages 207-211, April 2009

Suppression of Atrial Fibrillation Following Successful Ablation of Atrioventricular Nodal Reentrant Tachycardia: A Case Report

  • Wei-Chung Tsai

      Affiliations

    • Department of Internal Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University;, Kaohsiung, Taiwan
    • Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Kun-Tai Lee

      Affiliations

    • Department of Internal Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University;, Kaohsiung, Taiwan
    • Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Kai-Hung Cheng

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Chih-Hsing Huang

      Affiliations

    • Department of Internal Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University;, Kaohsiung, Taiwan
    • Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Hsin-Chin Lin

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Sheng-Hsiung Sheu

      Affiliations

    • Department of Internal Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University;, Kaohsiung, Taiwan
    • Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Wen-Ter Lai

      Affiliations

    • Department of Internal Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University;, Kaohsiung, Taiwan
    • Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Wen-Ter Lai, Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan

Received 10 November 2008; accepted 26 November 2008.

Inducible atrioventricular nodal reentrant tachycardia was demonstrated by electrophysiological studies in a 55-year-old female who suffered from intermittent palpitation, in which paroxysmal atrial fibrillation (AF) was consistently documented by electrocardiogram recordings. After ablation of the slow pathway, the atrioventricular nodal reentrant tachycardia and AF were not inducible. During 2 years of follow-up, there were no recurrences of AF in terms of symptoms or findings from Holter electrocardiograms. We suggest that the AF was triggered by the atrioventricular nodal reentrant tachycardia and the successful ablation of atrioventricular nodal reentrant tachycardia was associated with freedom arising from ablation of AF.

Key Words:  atrial fibrillation , atrioventricular nodal reentrant tachycardia

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PII: S1607-551X(09)70062-2

doi:10.1016/S1607-551X(09)70062-2

Kaohsiung Journal of Medical Sciences
Volume 25, Issue 4 , Pages 207-211, April 2009

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