ECG findings of acute myocardial infarction and atrioventricular block during a transseptal procedure for left atrial ablation.

نویسندگان

  • Michalis Efremidis
  • Konstantinos P Letsas
  • Sotirios Xydonas
  • Konstantinos Koutras
  • Antonios Sideris
  • Fotios Kardaras
چکیده

We report on a patient with transient atrioventricular block and ST-segment elevation mimicking the ECG of myocardial infarction during transseptal puncture for radiofrequency catheter ablation of atrial fibrillation. Symptoms and EGG findings resolved spontaneously. A neurally-mediated mechanism, activated by the mechanical effects of the transseptal puncture on the interatrial septum and leading to coronary artery spasm, may be considered as a possible explanation of this phenomenon. Coronary artery embolism following the transseptal procedure represents an alternative mechanism. The above mechanisms could also explain the atrioventricular block.

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عنوان ژورنال:
  • Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese

دوره 49 4  شماره 

صفحات  -

تاریخ انتشار 2008