Association between epicardial adipose tissue and coronary artery vasospasm during pulmonary vein isolation. Issue 2 (9th March 2018)

• Record Type: Journal Article
• Authors: Minami, Kentaro; Kumagai, Koji; Sugai, Yoshinao; Nakamura, Kohki; Naito, Shigeto; Oshima, Shigeru
• Is Part Of: Journal of arrhythmia. Volume 34:Issue 2(2017)
• Page Start: 207
• Page End: 209
• Publication Date: 2018-03-09
• Subjects: atrial fibrillation -- catheter ablation -- coronary artery vasospasm -- epicardial adipose tissue; Arrhythmia -- Periodicals; Cardiac pacing -- Periodicals; Arrhythmias, Cardiac; Arrhythmia; Cardiac pacing; Periodicals; Electronic journals; Periodicals; 616.128
• DOI: 10.1002/joa3.12044
• Languages: English
• ISSNs: 1880-4276

Abstract

Abstract: Coronary artery vasospasms (CAVs) during pulmonary vein isolation have been reported, but the mechanism remains unclear. We experienced a rare case of CAVs caused by radiofrequency (RF) applications to sites with massive epicardial adipose tissue (EAT) attached. Because EAT contains ganglionated plexuses, RF application may have caused an autonomic nervous system imbalance, which thereby provoked severe CAVs.