Influence of circumferential pulmonary vein isolation for atrial fibrillation on ST elevation in patient with Brugada syndrome.
We present a patient with Brugada syndrome and paroxysmal atrial fibrillation who underwent circumferential pulmonary vein isolation. His electrocardiogram showed normal sinus rhythm and first-degree AV block (P-R 280 ms) with coved-type ST elevation in V1-2 (+2.0 mm) before ablation. During ablation around the left pulmonary vein ostium, atrial fibrillation, progression of ST elevation (+4.5 mm), and T wave alternans occurred. After right pulmonary vein encirclement was complete, ST elevation improved to +1.0 mm. The following day, the ST segments remained lower than baseline levels.
Tomita
Takeshi
T
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan. Electronic address: ttomita@shinshu-u.ac.jp.
Aizawa
Kazunori
K
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Shimada
Kentaro
K
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Motoki
Hirohiko
H
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Otagiri
Kyuhachi
K
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Koshikawa
Megumi
M
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Kasai
Hiroki
H
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Izawa
Atsushi
A
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Kumazaki
Setsuo
S
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Tsutsui
Hiroshi
H
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Koyama
Jun
J
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Ikeda
Uichi
U
Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
D001281:Atrial Fibrillation / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D053840:Brugada Syndrome / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011667:Pulmonary Veins / Q000503:physiopathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods