Key result
Slow pathway ablation successfully treated a case of pseudo-pacemaker syndrome due to preferential slow pathway conduction, with the patient remaining asymptomatic at 9 months.
Case Report (n=1)
Slow pathway ablation may be a viable alternative to dual-chamber pacing for treating pseudo-pacemaker syndrome caused by preferential slow pathway conduction.
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May support ablation over pacing in select cases; leaves open need for prospective validation.
Lader et al. (2017) conducted a case report in Pseudo-pacemaker syndrome due to first-degree atrioventricular block with dual atrioventricular nodal physiology (n=1). Slow pathway ablation was evaluated on Improvements in fast pathway Wenkebach cycle length and PR interval, and symptom resolution. Slow pathway ablation successfully treated a case of pseudo-pacemaker syndrome due to preferential slow pathway conduction, with the patient remaining asymptomatic at 9 months.
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