Ahmet KORKMAZ, Muhammet Cihat ÇELİK, Havva Tuğba GÜRSOY, Funda BAŞYİĞİT, Ümit GÜRAY

Yaşlı bir hastada junctional taşikardide başarılı kriyoablasyon: Olgu sunumu

Junctional taşikardiler (JT), çoğunlukla bebeklerde ve çocuklarda görülen nadir görülen supraventriküler taşiaritmidir. JT erişkin hastalarda nadirdir ve kötü sonuçlarla ilişkilidir. Genel olarak, bu supraventriküler taşikardiler farmakolojik tedaviye yetersiz cevap verirler. Bu yazıda, para-hisian ektopik odağının kriyoablasyonunun başarıyla yapıldığı, sürekli taşiaritmili 72 yaşında bir olguyu sunuyoruz.

Anahtar Kelimeler:

Kriyoablasyon, Junctional Taşikardi

Successful cryoablation of junctional tachycardia in an elderly patient: A case report

Junctional tachycardias(JT) are rare supraventricular tachyarrhythmias observed mainly in infants and children. JT is rare in adult patients, and it is associated with poor outcomes. In general, these supraventricular tachycardias respond insufficiently to pharmacological treatment. In this report, we present the case of a 72-year-old patient with incessant tachyarrhythmia in whom cryoablation of the para-Hisian ectopic focus was successfully performed.

Keywords:

Cryoablation, Junctional Tachycardia,

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1.Law IH, Von Bergen NH, Gingerich JC, Saarel EV, Fischbach PS, Dick M II. Transcatheter cryothermal ablation of junctional ectopic tachycardia in the normal heart. Heart Rhythm 2006; 3: 903–907.
2.Sarubbi B, Musto B, Ducceschi V et al. Congenital junctional ectopic tachycardia in children and adolescents: a 20 year experience based study. Heart 2002; 88: 188 –90.
3.Konecke L, Knoebel S. Nonparoxysmal junctional tachycardia complicating acute myocardial infarction. Circulation 1972; 45: 367-74
4. Rosen K. Junctional tachycardia: mechanisms, diagnosis, differential diagnosis, and management. Circulation 1973; 47: 654-63
5.Haas NA, Plumpton K, Justo R, Jalali H, Pohlner P. Postoperative junctional ectopic tachycardia (JET). Z Kardiol 2004; 93: 371–80.
6.Hamdan M, Van Hare GF, Fisher W et al. Selective catheter ablation of the tachycardia focus in patients with nonreentrant junctional tachycardia. Am J Cardiol 1996; 78: 1292-97.
7. Wu MH, Lin JL, Chang YC. Catheter ablation of junctional ectopic tachycardia by guarded low dose radiofrequency energy aplication. Pacing Clin Electrophysiol 1996; 19: 1655-58.
8. Garson AJ, Gillette PC. Junctional ectopic tachycardia in children: electrocardiography, electrophysiology and pharmacologic response. Am J Cardiol 1979; 44: 298-302.
9. Liu CF, Ip JE, Lin AC, Lerman BB. Mechanistic heterogeneity of junctional ectopic tachycardia in adults. Pacing Clin Electrophysiol 2013; 36: 7-10.
10.Page RL, Joglar JA, Caldwell MA, et al; Evidence Review Committee Chair:2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2016 Apr 5. 133(14):e471-505.