Curative role of pulmonary vein isolation in tachycardia-bradycardia syndrome
█ Case report
Riesz Tamás János, Pap Róbert, Sághy László
Szegedi Tudományegyetem, Általános Orvostudományi Kar, II. sz. Belgyógyászati Klinika és Kardiológiai Központ, Szeged
The patient with paroxysmal atrial fibrillation (AF) was admitted to the hospital with symptoms of presyncope and a single episode of complete syncope. During close observation, atrial fibrillation was registered with significant pause after the cessation of AF paroxysms, that caused syncope. She was referred for pacemaker (PM) implantation, however, considering the pathophysiological role of atrial fibrillation, pulmonary vein isolation (PVI) was performed instead, that had to be repeated due to early recurrence. Following the redo PVI, tachy- and bradycardia were both eliminated, and no recurrence occured during long term follow-up.