Atrial Fibrillation Triggered by Premature Ventricular Complexes: An Under-Recognized Trigger

Matthew Bocchese; Hardik Mangrolia; Anuj Basil; Chethan Gangireddy; Edmond Cronin; George A Yesenosky; Richard M Greenberg; Joshua M Cooper; Isaac R Whitman

doi:10.1016/j.jaccas.2020.09.048

Atrial Fibrillation Triggered by Premature Ventricular Complexes: An Under-Recognized Trigger

JACC Case Rep. 2020 Nov 18;2(14):2244-2248. doi: 10.1016/j.jaccas.2020.09.048.

Authors

Matthew Bocchese¹, Hardik Mangrolia², Anuj Basil², Chethan Gangireddy², Edmond Cronin², George A Yesenosky², Richard M Greenberg², Joshua M Cooper², Isaac R Whitman²

Affiliations

¹ Department of Internal Medicine, Lewis Katz School of Medicine, Temple University Hospital, Philadelphia, Pennsylvania.
² Department of Cardiology, Section of Electrophysiology, Lewis Katz School of Medicine, Temple University Hospital, Philadelphia, Pennsylvania.

Abstract

Atrial fibrillation (AF) is a triggered rhythm, and ablation of the trigger is a common strategy for rhythm control. We describe a patient with symptomatic AF who was found to have episodes of AF triggered by premature ventricular complexes, likely by retrograde atrioventricular nodal conduction. (Level of Difficulty: Beginner.).

Keywords: AF, atrial fibrillation; AP, accessory pathway; PAC, premature atrial complex; PVC, premature ventricular complex; PVI, pulmonary vein isolation; ablation; atrial fibrillation; electrophysiology; palpitations.

Publication types

Case Reports