Coronary Arterial Spasm During Pulsed Field Ablation to Treat Atrial Fibrillation
Why the study?
Does pulsed field ablation adjacent to coronary arteries provoke coronary vasospasm in patients treated for atrial fibrillation?
Comparison
PFA adjacent to a coronary artery vs remote from coronary arteries
Authors
Discussion
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Member takes
Implication
Clinicians should monitor for vasospasm with PFA near coronaries; leaves open whether nitroglycerin prophylaxis improves outcomes in trials.
Structured PICO
Does pulsed field ablation adjacent to coronary arteries provoke coronary vasospasm in patients treated for atrial fibrillation?
P
Population
Patients undergoing pulsed field ablation to treat atrial fibrillation
I
Intervention
Pulsed field ablation delivered adjacent to a coronary artery
C
Comparator
Pulsed field ablation at locations remote from coronary arteries
O
Outcome
Coronary vasospasmsafety
Pulsed field ablation near coronary arteries can cause subclinical vasospasm, highlighting the need for awareness and potential prophylactic use of nitroglycerin.
Cite This Study
Reddy et al. (2022) studied this question.