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Heart 1998;80:301-302; doi:10.1136/hrt.80.3.301
Copyright © 1998 BMJ Publishing Group Ltd & British Cardiovascular Society

Heart 1998;80:301-302 ( September )

Case report

Successful radiofrequency catheter ablation of atrial trigeminy in a young patient I J Dobran, V Niebch, E G Vester

Department of Cardiology, Pneumology, and Angiology, Heinrich-Heine-University, Düsseldorf, Germany

Correspondence to: Dr I J Dobran, Medizinische Klinik und Poliklinik B, Abteilung für Kardiologie, Pneumologie und Angiologie der Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, D-40225 Düsseldorf, Germany. email: galnedr{at}uni-duesseldorf.de

Accepted for publication 22 April 1998

A case is reported of a 35 year old man with atrial parasystolic trigeminy. The patient presented with a 10 year history of sustained supraventricular extrasystole causing symptoms leading to several hospitalisations and continuous unemployment. He had been treated ineffectively with several drug combinations. Radiofrequency catheter ablation of a right atrial focus completely suppressed the ectopic activity. This is the first report to demonstrate the efficacy and safety of radiofrequency catheter ablation in atrial ectopic trigeminy.

Keywords: atrial trigeminy;  ectopic atrial tachycardia;  radiofrequency catheter ablation


© 1998 by Heart

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