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Clinical Research in Cardiology

, Volume 108, Issue 1, pp 110–113 | Cite as

Butterfly and reverse butterfly: usefulness of a resistance band to provoke exercise-induced arrhythmias during catheter ablation in a patient refractory to pharmacological stimulation

  • Panagiotis Xynogalos
  • Patrick Lugenbiel
  • Patrick Schweizer
  • Hugo Katus
  • Dierk Thomas
  • Eberhard P. ScholzEmail author
Letter to the Editors
  • 209 Downloads

Sirs:

Ventricular arrhythmias arising from the right ventricular outflow tract (RVOT-VA) are a frequent finding in young physically active patients [1]. Catheter ablation represents a widely accepted therapeutic option for patients suffering from symptomatic RVOT-VA. However, the exact localization and ablation can be hindered by a low arrhythmia burden during the ablation procedure. In these particular cases, pharmacological stimulation may help increasing the number of RVOT-VA during the procedure. However, even extensive pharmacological stimulation may fail inducing the clinical arrhythmia. Elastic exercise bands (resistance bands) are widely used for strength training in healthy individuals as well as in patients recovering from surgery or phases of prolonged inactivity [2]. Resistance bands are inexpensive and readily available, and exercise can be performed in almost any body position including the supine position. In this case, we tested whether intraprocedural exercise using a...

Keywords

Resistance band Ventricular tachycardia Physical exercise Adrenergic stimulation Right ventricular outflow tract RVOT Exercise induced arrhythmias Case report 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all the authors, the corresponding author states that there is no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Panagiotis Xynogalos
    • 1
    • 2
  • Patrick Lugenbiel
    • 1
    • 2
  • Patrick Schweizer
    • 1
    • 2
  • Hugo Katus
    • 1
    • 2
    • 3
  • Dierk Thomas
    • 1
    • 2
    • 3
  • Eberhard P. Scholz
    • 1
    • 2
    • 3
    Email author
  1. 1.Heidelberg Center for Heart Rhythm Disorders (HCR)University Hospital HeidelbergHeidelbergGermany
  2. 2.Department of Cardiology, Angiology and PneumologyUniversity of HeidelbergHeidelbergGermany
  3. 3.DZHK (German Centre for Cardiovascular Research), Partner Site Heidelberg/MannheimHeidelbergGermany

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