Rate dependent exit block across the pulmonary veins has been previously described immediately following catheter ablation. We report the case of rate dependent PV block seen at repeat ablation 7 years after the index procedure. To our knowledge, this is the first report of chronic rate dependent exit block (i.e. Rate dependent exit block discovered 7 years after circumferential PV antral isolation). We believe that, as with CTI ablation, rate independent pulmonary vein isolation should be confirmed.