ArticleJournal of cardiovascular electrophysiology2026
Late-Onset Suspected Coronary Vasospasm Following Focal Monopolar Pulsed-Field Ablation for Atrial Fibrillation.
Article in Journal of cardiovascular electrophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
introductionCoronary vasospasm is a recognized complication of pulsed-field ablation (PFA), but delayed events are rarely described. METHODS AND
resultsA 64-year-old man underwent atrial fibrillation ablation using a focal monopolar PFA catheter. He developed transient chest discomfort 18 h after ablation, followed by sustained chest tightness with ST-segment depression 42 h post-procedure. Symptoms and electrocardiographic changes resolved promptly with sublingual nitroglycerin, suggesting coronary vasospasm.
conclusionCoronary vasospasm after focal monopolar PFA may occur beyond the immediate post-procedural period, which may have implications for monitoring and discharge planning.
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