Three cases of vasospastic angina following catheter ablation of atrial fibrillation

• Main Authors: Yoshihiko Kagawa, Eitaro Fujii, Satoshi Fujita, Norikazu Yamada, Masaaki Ito
• Format: Article
• Language: English
• Published: Wiley 2017-10-01
• Series: Journal of Arrhythmia
• Subjects: Vasospastic angina; Catheter ablation; Persistent atrial fibrillation
• Online Access: http://www.sciencedirect.com/science/article/pii/S188042761730128X

Pulmonary vein isolation is an effective treatment for patients with atrial fibrillation (AF).Although vasospastic angina (VSA) is not a common complication after ablation of AF, we report 3 cases of VSA following ablation of persistent AF. Two of the 3 patients felt chest pain following pulmonary vein isolation, and complex fractionated atrial electrogram ablations were performed. ST elevation in the inferior leads and atrioventricular block occurred because of severe coronary vasospasm. In the third patient, the electrocardiography monitor detected transient ST elevation within an hour after ablation. Treatment of VSA may be required following catheter ablation of AF.