Pace-and-ablate in a flash: Ablation of the atrioventricular node with pulsed field ablation

An 83-year-old woman with an 11-year history of symptomatic paroxysmal atrial fibrillation (AF) and previous left atrial ablations presented to our coronary care unit with chest pain secondary to paroxysmal AF with fast ventricular response (Figure 1). This was associated with feeling unwell secondary to prolonged sinus pauses (7 seconds) upon termination of her AF episodes.