Skip to main content
SpringerLink
Log in

Is Permanent Pacing Indicated for this ECG Finding Following Alcohol Septal Ablation?

  • Chapter
  • First Online:
Cardiac Electrophysiology

  • 78 Accesses

Abstract

Alcohol septal ablation for relief of left ventricular outflow obstruction from hypertrophic cardiomyopathy is associated with a risk of high grade heart block requiring permanent pacing. However, not all rhythms demonstrating A-V dissociation are indicative of complete and/or permanent heart block. We present a case of transient competing sinus and junctional rhythm following alcohol septal ablation which resolved spontaneously without clinical need for permanent pacemaker insertion.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Batzner A, Pfeiffer B, Neugebauer A, Aicha D, Blank C, Seggewiss H. Survival after alcohol septal ablation in patients with hypertrophic obstructive cardiomyopathy. J Am Coll Cardiol. 2018;72(24):3087–94.

    Article  Google Scholar 

  2. Kazmierczak J, Kornacewicz-Jach Z, Kisly M, Gil R, Wojtarowicz A. Electrocardiographic changes after alcohol septal ablation in hypertrophic obstructive cardiomyopathy. Heart. 1998;80(3):257–62.

    Article  CAS  Google Scholar 

  3. Chen AA, Palacios IF, Mela T, Yoerger DM, Picard MH, Vlahakes G, Lowry PA, Fifer MA. Acute predictors of subacute complete heart block after alcohol septal ablation for obstructive hypertrophic cardiomyopathy. Am J Cardiol. 2006;97(2):264–9.

    Article  Google Scholar 

  4. Chang SM, Nagueh SF, Spencer WH 3rd, Lakkis NM. Complete heart block: determinants and clinical impact in patients with hypertrophic obstructive cardiomyopathy undergoing nonsurgical septal reduction therapy. J Am Coll Cardiol. 2003;42(2):296–300.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Medicine, Division of Cardiology, UPMC Hypertrophic Cardiomyopathy Center, University of Pittsburgh Medical Center—Heart and Vascular Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Timothy C. Wong

Authors
  1. Timothy C. Wong
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Timothy C. Wong .

Editor information

Editors and Affiliations

  1. N. IH 35 3000, St. David’s Medical Center, Austin, TX, USA

    Andrea Natale

  2. Department of Cardiovascular Medicine, Stanford University, Stanford, CA, USA

    Paul J. Wang

  3. Texas Cardiac Arrhythmia, Austin, TX, USA

    Amin Al-Ahmad

  4. University of Pittsburgh, Pittsburgh, PA, USA

    N. A. Mark Estes

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Wong, T.C. (2020). Is Permanent Pacing Indicated for this ECG Finding Following Alcohol Septal Ablation?. In: Natale, A., Wang, P., Al-Ahmad, A., Estes, N. (eds) Cardiac Electrophysiology. Springer, Cham. https://doi.org/10.1007/978-3-030-28533-3_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-28533-3_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28531-9

  • Online ISBN: 978-3-030-28533-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation