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

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

doi:10.1016/j.jaccas.2020.11.009

JACC: Case Reports (Jan 2021)

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

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

Affiliations

Axel Sarrias, MD: Address for correspondence: Dr. Axel Sarrias, Department of Cardiology, Hospital Universitari Germans Trias i Pujol, Carretera de Canyet s/n., 08916 Badalona, Spain.; Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Damià Pereferrer, MD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Victor Bazan, MD, PhD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Felipe Bisbal, MD, PhD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Raquel Adeliño, MD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Júlia Aranyó, MD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Francisco Gual, MD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Roger Villuendas, MD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain
Antoni Bayés-Genís, MD, PhD: Department of Cardiology, Germans Trias i Pujol University Hospital, Barcelona, Spain

DOI: https://doi.org/10.1016/j.jaccas.2020.11.009
Journal volume & issue: Vol. 3, no. 1
pp. 150 – 155

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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