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.

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