An intra-aortic balloon pump can provide effective mechanical hemodynamic support during catheter ablation for patients with tachycardia-induced cardiomyopathy and hemodynamic instability.
IABP may enable ablation in unstable tachycardia-induced cardiomyopathy; single case leaves open need for prospective validation.
We describe the case that persistent atrial fibrillation refractory to rhythm control by pharmacotherapy and electrical cardioversions caused tachycardia-induced cardiomyopathy with low ejection fraction and hemodynamic instability. Mechanical hemodynamic support using an intra-aortic balloon pump is one of the choices of hemodynamic support during catheter ablation by pulmonary vein isolation.
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Kamada et al. (2016) studied this question.
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