ABSTRACT
Permanent pacemakers (PPMs) are still recommended for people over the age of 40 for the treatment of symptomatic bradycardia. Recently, cardioneuroablation (CNA) has emerged as an alternative treatment method to PPM. Outflow tract premature ventricular contractions (PVC), commonly known as benign arrhythmias, are classified as heart rate-dependent or independent. Our patient, a 62-year-old female, was admitted to the arrhythmia outpatient clinic with symptomatic bradycardia. She did not accept the permanent pacemaker (PPM) because of the risks. After receiving informed consent, CNA was performed on the patient. The heart rate increased to over 60 beats/min, and bigeminy PVCs were seen every 5-6 beats immediately after the RFA ablation. PVCs originated from the junction of the left coronary cusp-right coronary cusp and PVCs ended with RFA treatment applied to this area. The patient was discharged after the ablation, and she was asymptomatic in her follow-ups.
Keywords: Cardioneuroablation, premature ventricular contraction, radiofrequency ablation