Catheter Ablation of Atrioventricular Block: From Diagnosis to Selection of Proper Treatment

JACC Case Rep. 2020 Sep 15;2(11):1793-1801. doi: 10.1016/j.jaccas.2020.07.050. eCollection 2020 Sep.

Abstract

A 39-year-old man presented with recurrent syncope. A 12-lead electrocardiogram and a 24-h Holter recording demonstrated atypical persistent Mobitz type I and high-degree atrioventricular block, respectively. The functional nature of the atrioventricular block was confirmed by atropine challenge, exercise testing, and electrophysiological study. The patient was successfully treated with a cardioneuroablation procedure. (Level of Difficulty: Intermediate.).

Keywords: AV, atrioventricular; AVB, atrioventricular block; CNA, cardioneuroablation; GP, ganglionated plexus; RSGP, right superior ganglionated plexus; atrioventricular block; cardioneuroablation; catheter ablation; syncope; vagal denervation.

Publication types

  • Case Reports