Key result
Nodal slow pathway ablation successfully treated double-His conduction in a 31-year-old female athlete, resulting in no arrhythmic recurrences at 12 months and allowing return to competitive sport.
Case Report (n=1)
No
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Careful electrophysiological evaluation in young athletes with suspected lone atrial fibrillation can reveal treatable supraventricular tachycardias like double-His conduction, allowing for targeted, curative slow pathway ablation.
A case of a 31 years old woman volleyball player highly symptomatic for arrhythmic palpitations is reported. The woman was disqualified from competitive sport and referred to our centre for atrial fibrillation (AF) ablation. During symptoms surface ECG had documented irregular supraventricular tachyarrhythmia interpreted as AF. Electrophysiological study could reveal double-His conduction as the true arrhythmia mechanism and the patient was successfully treated with nodal slow pathway ablation. Patient was totally asymptomatic at a 12 months follow up and he was readmitted to competitive sport. The case further underlines the concept that young subjects with suspected lone AF should undergo to a careful clinical evaluation in order to reconstruct the exact electrophysiological mechanism to plan a safe and effective therapy.
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Sciarra et al. (2017) conducted a case report in Arrhythmic palpitations (Double-His conduction) (n=1). Nodal slow pathway ablation was evaluated on Arrhythmic recurrences at 12 months. Nodal slow pathway ablation successfully treated double-His conduction in a 31-year-old female athlete, resulting in no arrhythmic recurrences at 12 months and allowing return to competitive sport.
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