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June 1, 2017Archive of Clinical CasesOpen Access

Sick sinus syndrome - a case report of paroxysmal supraventricular tachycardia due to atrioventricular node re-entry

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Key result

Radiofrequency ablation of the slow intranodal pathway successfully treated paroxysmal supraventricular tachycardia in a patient with sick sinus syndrome, avoiding the need for cardiac pacing.

Population

1 patient, 70-year-old female with sick sinus syndrome, atypical chest pain, dizziness, stage 3 essential…

Design

Case_report

Authors

ȘAȘtefan AiloaeiLȚLaura ȚăpoiMCManuela Culica

Discussion

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Overview

May support ablation to avoid pacing when symptoms are tachyarrhythmia-driven in sick sinus syndrome; leaves open confirmation in prospective studies.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 70-year-old female with sick sinus syndrome and paroxysmal supraventricular tachycardia due to atrioventricular nodal re-entrant tachycardia.
I
Intervention
Radiofrequency ablation of the slow intranodal pathway
O
Outcome
Successful ablation of the slow intranodal pathway and non-inducibility of tachycardia

In patients with sick sinus syndrome whose symptoms are attributed to tachyarrhythmic episodes rather than bradycardia, radiofrequency ablation of the paroxysmal supraventricular tachycardia is an effective treatment strategy.

Limitations

  • Single case report
  • Future randomized trials are needed to clarify the epidemiology and optimal management of patients with sinus node dysfunction and atrial fibrillation

Cite This Study

Ailoaei et al. (2017) conducted a case report in Sick sinus syndrome and paroxysmal supraventricular tachycardia (n=1). Radiofrequency ablation of the slow intranodal pathway was evaluated on Resolution of paroxysmal supraventricular tachycardia. Radiofrequency ablation of the slow intranodal pathway successfully treated paroxysmal supraventricular tachycardia in a patient with sick sinus syndrome, avoiding the need for cardiac pacing.

synapsesocial.com/papers/6a9caecd46732477b8b67b8ahttps://doi.org/10.22551/2017.15.0402.10104
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Stroke and atrial fibrillation in sick sinus syndrome.1997 · 8 citations
  2. 2Sick Sinus Syndrome and AV Node Re‐entry*1979 · 5 citations
  3. 3Sinus and Atrioventricular Nodal Re-Entrant Tachycardia.1993
  4. 4Noncontact Mapping-Guided Catheter Ablation of Posterosuperior Right Atrial Tachycardia Associated with Sick Sinus Syndrome2008
  5. 5Noncontact Mapping‐Guided Catheter Ablation of Posterosuperior Right Atrial Tachycardia Associated with Sick Sinus Syndrome2008