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Published in: Journal of Interventional Cardiac Electrophysiology 2/2024

03-11-2023 | Supraventricular Tachycardia | Commentary

Sacrificing patient comfort to avoid sedative/analgesic suppression of supraventricular tachycardia inducibility during ablation: no pain, no gain?

Author: Ramanak L. Mitra

Published in: Journal of Interventional Cardiac Electrophysiology | Issue 2/2024

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Excerpt

The ability to reproducibly induce a supraventricular arrhythmia at the time of ablation is important for several reasons:
1.
Ascertain the correct diagnosis and define the mechanism of the arrhythmia.
 
2.
Map the arrhythmia to determine the safest region to ablate without causing collateral damage.
 
3.
Determine success of ablation by rendering the arrhythmia non-inducible after establishing baseline inducibility.
 
Literature
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go back to reference Lau W, Kovoor P, Ross DL. Cardiac electrophysiologic effects of midazolam combined with fentanyl. Am J Cardiol. 1993;72:177–82.CrossRefPubMed Lau W, Kovoor P, Ross DL. Cardiac electrophysiologic effects of midazolam combined with fentanyl. Am J Cardiol. 1993;72:177–82.CrossRefPubMed
3.
go back to reference Khan ZP, Ferguson CN, Jones RM. alpha-2 and imidazoline receptor agonists their pharmacology and therapeutic role. Anaesthesia. 1999;54:146–65.CrossRefPubMed Khan ZP, Ferguson CN, Jones RM. alpha-2 and imidazoline receptor agonists their pharmacology and therapeutic role. Anaesthesia. 1999;54:146–65.CrossRefPubMed
4.
go back to reference Servatius H, Küffer T, Baldinger SH, et al. Dexmedetomidine versus propofol for operator-directed nurse-administered procedural sedation during catheter ablation of atrial fibrillation: a randomized controlled study. Heart Rhythm. 2022;19(5):691.CrossRefPubMed Servatius H, Küffer T, Baldinger SH, et al. Dexmedetomidine versus propofol for operator-directed nurse-administered procedural sedation during catheter ablation of atrial fibrillation: a randomized controlled study. Heart Rhythm. 2022;19(5):691.CrossRefPubMed
5.
go back to reference Bernardini A, Paoletti Perini A, Padeletti M, Signorini U, Ciliberti D, Poli C, Milli M, Giomi A. Impact of dexmedetomidine on electrophysiological properties and arrhythmia inducibility in adult patients referred for reentrant supraventricular tachycardia ablation. J Interv Card Electrophysiol. 2023. https://doi.org/10.1007/s10840-023-01640-7. Bernardini A, Paoletti Perini A, Padeletti M, Signorini U, Ciliberti D, Poli C, Milli M, Giomi A. Impact of dexmedetomidine on electrophysiological properties and arrhythmia inducibility in adult patients referred for reentrant supraventricular tachycardia ablation. J Interv Card Electrophysiol. 2023. https://​doi.​org/​10.​1007/​s10840-023-01640-7.
Metadata
Title
Sacrificing patient comfort to avoid sedative/analgesic suppression of supraventricular tachycardia inducibility during ablation: no pain, no gain?
Author
Ramanak L. Mitra
Publication date
03-11-2023
Publisher
Springer US
Published in
Journal of Interventional Cardiac Electrophysiology / Issue 2/2024
Print ISSN: 1383-875X
Electronic ISSN: 1572-8595
DOI
https://doi.org/10.1007/s10840-023-01667-w

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