title: Fast pathway ablation using cryotherapy for a patient with a long PR interval in sinus rhythm and AVNRT.
abstract: A 53-year-old man with previous aortic valve surgery presented with paroxysmal narrow complex tachycardia, induced by exercise. His PR interval was greater than 400 ms when in sinus rhythm and atrioventricular nodal reentry tachycardia (AVNRT) was diagnosed with invasive electrophysiological studies. Single echoes were repeatedly inducible with single-paced extrastimuli. Cryotherapy was then used to ablate the fast pathway using single echoes to monitor anterograde slow pathway and retrograde fast pathway function during ablation.
authors.affiliation: Imperial College Healthcare NHS Trust, London, UK. nick@foxlinton.org
authors.forename: Nick W F
authors.initials: NW
authors.lastname: Linton
authors.forename: D Wyn
authors.initials: DW
authors.lastname: Davies
authors.forename: Antony
authors.initials: A
authors.lastname: Mason
authors.forename: David
authors.initials: D
authors.lastname: Lefroy
mesh_terms: D058606:Accessory Atrioventricular Bundle / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D003452:Cryosurgery / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome