Challenging Arrhythmia-Truth after Electrophysiology Study and Radio Frequency Ablation

Dr. Arulanandhan Ettiyan, Dr. Suresh Kumar Ponnuswamy

Abstract: It is evident that arrhythmias, particularly paroxysmal supraventricular tachycardia (PSVT), pose a significant burden on cardiac health, often leading to complications like cardiomyopathy and heart failure if left untreated. In my view, early diagnosis and intervention are key in managing PSVT, with electrocardiography (ECG) and electrophysiology studies (EPS) playing a central role. This case series examines three patients diagnosed with PSVT, each successfully treated with radiofrequency ablation (RFA), a technique that has gained considerable traction due to its high efficacy and safety profile. The findings suggest that RFA not only provides immediate relief but also significantly reduces recurrence rates, making it a preferred treatment option over long-term antiarrhythmic therapy. Notably, all patients in this study exhibited no post-procedural complications or recurrence upon follow-up, reinforcing RFA?s role as a definitive solution for PSVT. This suggests that, in the absence of underlying ventricular scarring or idiopathic conditions, RFA could be a game-changer in the management of arrhythmias. The broader adoption of this technique could contribute to lowering arrhythmia-related mortality and improving patient quality of life.

Keywords: PSVT, radiofrequency ablation, electrophysiology study, arrhythmia treatment, cardiac intervention