What does this research mean for the field?

Radiofrequency ablation of the low posteroseptal right atrium can effectively reduce rapid ventricular response in atrial fibrillation, potentially serving as an alternative to complete AV node ablation and pacemaker implantation. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.ESTABLISHES_NEW_DIRECTION.

March 1, 1993Pacing and Clinical Electrophysiology

Radiofrequency Modification of Atrioventricular Conduction by Selective Ablation of the Low Posterior Septal Right Atrium in a Patient with Atrial Fibrillation and a Rapid Ventricular Response

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Why the study?

Does radiofrequency ablation of the low posteroseptal right atrium reduce ventricular rate in a patient with atrial fibrillation and rapid ventricular response?

Population

58-year-old woman with atrial fibrillation and uncontrolled ventricular responses up to 180 beats/min…

Design

Case_report

Authors

RFR P FleckCedars-Sinai Medical Center PCPENG‐SHENG CHENCedars-Sinai Medical Center KBK BoyceWestern Health

Discussion

Member takes

Implication

May control rapid ventricular response in AF without AV nodal ablation; hypothesis-generating and requires prospective validation.

Structured PICO

Does radiofrequency ablation of the low posteroseptal right atrium reduce ventricular rate in a patient with atrial fibrillation and rapid ventricular response?

Population

58-year-old woman with atrial fibrillation and uncontrolled ventricular responses up to 180 beats/min despite therapy with digoxin (n=1)

Intervention

Radiofrequency ablation of the low posteroseptal right atrium

Outcome

Ventricular rate reductionsurrogate

Selective radiofrequency ablation of the low posteroseptal right atrium successfully controlled rapid ventricular response in a patient with atrial fibrillation, suggesting a potential alternative to complete AV node ablation and pacemaker implantation.

Cite This Study

Fleck et al. (1993) studied this question.

synapsesocial.com/papers/6a1bd85d26cb5670aa9cfed0 https://doi.org/10.1111/j.1540-8159.1993.tb01597.x

Topics

Atrial fibrillation Persistent AF management AF ablation outcomes

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Radiofrequency Modification of Atrioventricular Conduction by Selective Ablation of the Low Posterior Septal Right Atrium in a Patient with Atrial Fibrillation and a Rapid Ventricular Response

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Radiofrequency Modification of Atrioventricular Conduction by Selective Ablation of the Low Posterior Septal Right Atrium in a Patient with Atrial Fibrillation and a Rapid Ventricular Response

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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