Advanced Atrioventricular Block in a Young Patient: Pacemaker Implantation Is No Longer the Only Choice

ABSTRACT A 40‐year‐old woman with symptomatic advanced atrioventricular (AV) block underwent cardioneuroablation (CNA) for the treatment of functional bradyarrhythmia, following the exclusion of reversible causes and intrinsic disease of the conduction system. Selective ablation of ganglia related t...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology Vol. 48; no. 3; pp. 325 - 328
Main Authors: May, Bruna Miers, Bartholomay, Eduardo, Kochi, Adriano Nunes, Andrade, Karina, Nicola, Thaís Coutinho, Reichert, Giulia Bonatto
Format: Journal Article
Language:English
Published: United States Wiley Subscription Services, Inc 01.03.2025
Subjects:
Adult
atrioventricular block
Atrioventricular Block - physiopathology
Atrioventricular Block - surgery
Atrioventricular Block - therapy
autonomic modulation
bradyarrhythmias
cardioneuroablation
Catheter Ablation
Conduction
conduction system disorders
Electrocardiography
Female
Ganglia
Heart
Humans
Pacemaker, Artificial
autonomic modulation
conduction system disorders
bradyarrhythmias
atrioventricular block
cardioneuroablation
ISSN:0147-8389, 1540-8159, 1540-8159
Online Access:Get full text
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Summary:ABSTRACT A 40‐year‐old woman with symptomatic advanced atrioventricular (AV) block underwent cardioneuroablation (CNA) for the treatment of functional bradyarrhythmia, following the exclusion of reversible causes and intrinsic disease of the conduction system. Selective ablation of ganglia related to the AV node, performed exclusively in the left atrium, restored AV conduction, which has remained unchanged with 2 years of follow‐up. CNA is a viable and effective option with low risk for the treatment of functional bradyarrhythmias, regardless of their severity.
Bibliography:The authors received no specific funding for this work.
Funding
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ISSN:0147-8389
1540-8159
1540-8159
DOI:10.1111/pace.15153