Incidence and characteristics of transient St-segment elevation during transseptal puncture

• Published in: Journal of interventional cardiac electrophysiology 2022-03, Vol.63 (2), p.425-430
• Main Authors: Vale, Paula D., Silva, Livia T. M., de Oliveira, Edna Maria M., de Miranda, Ricardo F. C., da Silva, Renato David, Araújo, Lielia M. C., da Silva, Samuel M. P., Cunha, Wanessa C., Neto, José S., Péres, Ayrton K., Seixas, Tamer N., da Rocha, Jairo M., Margalho, Carla S., Maia, Henrique Cesar de A.
• Format: Article
• Language: English
• Subjects: Ablation; Angiography; Atropine; Blood pressure; Bradycardia; Cardiac arrhythmia; Cardiology; Catheter Ablation - adverse effects; Catheter Ablation - methods; Catheterization; Catheters; Comparative analysis; Electrocardiography; Etiology; Fibrillation; Heart rate; Humans; Hypotension; Incidence; Intravenous administration; Medical instruments; Medicine; Medicine & Public Health; Patients; Prospective Studies; Punctures; Retrospective Studies; Segments
• ISSN: 1383-875X; 1572-8595
• DOI: 10.1007/s10840-021-01022-x

Purpose Delineate retrospectively and prospectively the incidence and characteristics of transient ST-segment elevation during transseptal puncture. Methods The study retrospectively evaluated 307 patients from January 1, 2015, to December 31, 2017, and prospectively evaluated 231 patients from January 1, 2018, to July 31, 2019. Results The presence of ST-segment elevation was significantly higher in the prospective sample than in the retrospective sample (5.2% vs. 1.3%, p   2 mm and the presence of symptoms. In these patients, coronary angiography showed no alterations. Atropine was administered to one patient who presented with junctional bradycardia after the puncture. This medication reversed the situation. Conclusion ST-segment elevation is a short-term phenomenon that can occur during transseptal catheterization without clinically evident symptoms. The catheter ablation procedure can be safely concluded despite the occurrence of the phenomenon.