Atrioventricular Node Ablation to Enhance Resynchronization Therapy Response in a Patient With Complete Atrioventricular Block

Axel Sarrias; Damià Pereferrer; Victor Bazan; Felipe Bisbal; Raquel Adeliño; Júlia Aranyó; Francisco Gual; Roger Villuendas; Antoni Bayés-Genís

doi:10.1016/j.jaccas.2020.11.009

Atrioventricular Node Ablation to Enhance Resynchronization Therapy Response in a Patient With Complete Atrioventricular Block

JACC Case Rep. 2021 Jan 6;3(1):150-155. doi: 10.1016/j.jaccas.2020.11.009. eCollection 2021 Jan.

Authors

Axel Sarrias¹, Damià Pereferrer¹, Victor Bazan¹, Felipe Bisbal¹, Raquel Adeliño¹, Júlia Aranyó¹, Francisco Gual¹, Roger Villuendas¹, Antoni Bayés-Genís¹

Affiliation

¹ Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain.

Abstract

Up to one-third of patients who undergo cardiac resynchronization therapy do not obtain clinical benefit. A systematic approach can identify treatable causes in many nonresponding patients. We present a case of nonresponse to cardiac resynchronization therapy that resolved by ablation of the atrioventricular node in a patient with complete atrioventricular block. (Level of Difficulty: Advanced.).

Keywords: AV, atrioventricular; CRT, cardiac resynchronization therapy; PMT, pacemaker-mediated tachycardia; PVARP, post-ventricular atrial refractory period; ablation; cardiac resynchronization therapy; echocardiography.

Publication types

Case Reports