Successful Radiofrequency Energy Ablation of Automatic Junctional Tachycardia Preserving Normal Atrioventricular Nodal Conduction

FREDERICK A. EHLERT, JEFFREY J. GOLDBKRGER, BARBARA J. DEAL, D. WOODROW BENSON, ALAN H. KADISH

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Automatic junctional tachycardia is frequently refractory to medical management and difficult to treat with nonpharmacoJogical methods. A 12‐year‐old female with symptomatic, refractory automatic junctional tachycardia is reported. Earliest atrial activation during supraventricular tachycardia was in the posterior portion of the intraatrial septum. The patient underwent electrophysiological study and successful radiofrequency current ahiation of the ectopic automatic focus within the atrioventricuiar junction. Normal atrioventricular junctional conduction was maintained, and at 7‐month foJlow‐up the patient has been free of tachycardia.

Original languageEnglish (US)
Pages (from-to)54-61
Number of pages8
JournalPacing and Clinical Electrophysiology
Volume16
Issue number1
DOIs
StatePublished - Jan 1993
Externally publishedYes

Keywords

  • atrioventricuiar conduction
  • automatic junctionai tachycardia
  • radiofrequency ablation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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