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Case Reports
. 1996 May;7(5):445-9.
doi: 10.1111/j.1540-8167.1996.tb00549.x.

Bezold-Jarisch-like phenomenon induced by radiofrequency ablation of a left posteroseptal accessory pathway via the coronary sinus

J Schläpfer  1 , L Kappenberger, M Fromer
Affiliations
Case Reports

Bezold-Jarisch-like phenomenon induced by radiofrequency ablation of a left posteroseptal accessory pathway via the coronary sinus

J Schläpfer et al. J Cardiovasc Electrophysiol. 1996 May.

Abstract

We report a case of asystole induced by radiofrequency (RF) ablation via the coronary sinus in a 35-year-old man suffering from symptomatic left posteroseptal accessory pathway. RF application provoked progressive slowing of the sinus rhythm, disappearance of the preexcitation, and an 8-second period of asystole followed by atrial fibrillation. The causal mechanism proposed is a strong stimulation of vagal afferent pathways linked with sensory endings of the inferoposterior myocardial wall leading to a Bezold-Jarisch-like phenomenon.

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