To the Editor — Ganglionated plexus modulation inducing vagal response during pulsed field ablation for atrial fibrillation: A blessing in disguise

We read with great interest the article by Del Monte and colleagues1 and the associated editorial.2 The authors should be congratulated on their study, concluding that initiating pulsed field ablation (PFA) from the right superior pulmonary vein (PV) could potentially prevent vagal pauses caused by PFA of the left PV antrum, thereby eliminating the necessity for pacing support. However, no predefined cutoff for temporary backup pacing was employed in the study, and therefore it is difficult to establish the bradycardia severity.
Source: Heart Rhythm - Category: Cardiology Authors: Tags: Letter to the Editor Source Type: research