Symptomatic sinus tachycardia with perpetuating slow pathway: successful treatment with radiofrequency ablation

Abstract

We report a case of sinus tachycardia with perpetuating slow pathway (SP) conduction in a 42-year-old woman who developed severe symptoms as a result of atrioventricular (AV) desynchronization. The restoration of an AV synchrony, achieved with selective radiofrequency ablation of the SP, eliminated the symptomatic arrhythmia and may represent a reasonable therapeutic option despite the fact that the patient has no AV-node reentrant tachycardia. This case demonstrates the importance of AV timing.

Keywords: atrioventricular synchrony; double-ventricular response; dual-atrioventricular nodal physiology; radiofrequency ablation; sinus tachycardia.