title: Pseudo-pacemaker syndrome following inadvertent fast pathway ablation for atrioventricular nodal reentrant tachycardia.
abstract: Atrioventricular nodal reentrant tachycardia that is refractory to drug treatment has recently been treated with radiofrequency catheter ablation. In this case report we describe a patient with atrioventricular nodal reentrant tachycardia in whom radiofrequency ablation of slow pathway was attempted, with inadvertent damage to the fast pathway. The patient developed marked first-degree atrioventricular block associated with symptoms mimicking pacemaker syndrome.
authors.affiliation: Massachusetts General Hospital, Cardiac Unit, Boston 02114.
authors.forename: Y H
authors.initials: YH
authors.lastname: Kim
authors.forename: S
authors.initials: S
authors.lastname: O'Nunain
authors.forename: T
authors.initials: T
authors.lastname: Trouton
authors.forename: G
authors.initials: G
authors.lastname: Sosa-Suarez
authors.forename: R A
authors.initials: RA
authors.lastname: Levine
authors.forename: H
authors.initials: H
authors.lastname: Garan
authors.forename: J N
authors.initials: JN
authors.lastname: Ruskin
mesh_terms: D002304:Cardiac Pacing, Artificial / Q000009:adverse effects; D017115:Catheter Ablation / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D013577:Syndrome; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000503:physiopathology / Q000628:therapy*