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Asynchronous Pulse Field Ablation Induced Ventricular Fibrillation
Journal article   Peer reviewed

Asynchronous Pulse Field Ablation Induced Ventricular Fibrillation

Ghazaleh Goldar, Aaron Sifuentes, Carlos Vargas, Peter Farjo, Paari Dominic and Steven Bailin
Heart rhythm, Vol.23(5), pp.1023-1026
05/2026
DOI: 10.1016/j.hrthm.2025.10.032
PMID: 41135627

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Abstract

Key Teaching Points 1. Pulse field ablation (PFA) can potentially induce unintended myocardial capture in patients with ICD leads when energy delivery occurs in close proximity. 2. Ventricular fibrillation may result from asynchronous delivery of PFA pulses interacting with implanted cardiac rhythm devices. 3. Awareness of existing devices in proximity to PFA, and consideration of synchronous PFA delivery may help mitigate risk in device patients.
Implantable Cardioverter-Defibrillator Pulse Field Ablation Ventricular Fibrillation

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