scholarly journals Changing atrial activation patterns during narrow complex tachycardia

2020 ◽  
Vol 31 (9) ◽  
pp. 2519-2521
Author(s):  
Ramalingam Vadivelu ◽  
Yash Lokhandwala ◽  
Raghav Bansal

2020 ◽  
Author(s):  
Ramalingam Vadivelu ◽  
Yash Lokhandawala ◽  
Raghav Bansal


2019 ◽  
Vol 30 (12) ◽  
pp. 2704-2712 ◽  
Author(s):  
Michael Wolf ◽  
René Tavernier ◽  
Ziad Zeidan ◽  
Milad El Haddad ◽  
Yves Vandekerckhove ◽  
...  




2000 ◽  
Vol 11 (3) ◽  
pp. 373-373
Author(s):  
David S. Rosenbaum ◽  
GREGORY T. ALTEMOSE ◽  
LUIS R. SCOTT ◽  
JOHN M. MILLER


Heart Rhythm ◽  
2010 ◽  
Vol 7 (5) ◽  
pp. 664-672 ◽  
Author(s):  
Daniel Steven ◽  
Jens Seiler ◽  
Kurt C. Roberts-Thomson ◽  
Keiichi Inada ◽  
William G. Stevenson


2012 ◽  
Vol 21 ◽  
pp. S117-S118
Author(s):  
G. Lee ◽  
A. Teh ◽  
S. Kumar ◽  
A. Madry ◽  
S. Spence ◽  
...  


2016 ◽  
Vol 5 (2) ◽  
pp. 130 ◽  
Author(s):  
Demosthenes G Katritsis ◽  
Mark E Josephson ◽  
◽  

Atrioventricular nodal reentrant tachycardia (AVNRT) should be classified as typical or atypical. The term ‘fast-slow AVNRT’ is rather misleading. Retrograde atrial activation during tachycardia should not be relied upon as a diagnostic criterion. Both typical and atypical atrioventricular nodal reentrant tachycardia are compatible with varying retrograde atrial activation patterns. Attempts at establishing the presence of a ‘lower common pathway’ are probably of no practical significance. When the diagnosis of AVNRT is established, ablation should be only directed towards the anatomic position of the slow pathway. If right septal attempts are unsuccessful, the left septal side should be tried. Ablation targeting earliest atrial activation sites during typical atrioventricular nodal reentrant tachycardia or the fast pathway in general for any kind of typical or atypical atrioventricular nodal reentrant tachycardia, are not justified. In this review we discuss current concepts about the tachycardia circuit, electrophysiologic diagnosis, and ablation of this arrhythmia.





EP Europace ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. 1712-1717
Author(s):  
Meng-Meng Li ◽  
De-Yong Long ◽  
Cai-Hua Sang ◽  
Chen-Xi Jiang ◽  
Xue-Yuan Guo ◽  
...  

Abstract Aims Accessory pathways (APs) successfully ablated at the aortomitral continuity (AMC) were sporadically reported but relevant data are very limited. We aimed to describe the electrophysiological characteristics of AMC-AP and the related anatomy. Methods and results This study involved eight (male/female = 3/5, mean age 42.6 ± 10.5 years) patients with left-sided AP successfully ablated in the AMC region. The retrograde atrial activation sequence was analysed and compared via recordings at the His-bundle (HB), coronary sinus (CS), and roving catheter during tachycardia, and the peak of QRS from the same cardiac circle used as time reference. Of the eight patients, two received prior ablations. During tachycardia, the activation time at the proximal CS (CSp), lateral CS (CSl), and HB region averaged 120 ± 26 ms, 124 ± 29 ms, and 117 ± 21 ms following the reference, respectively (P = 0.86). The latest atrial activation was recorded in the posterior CS which averaged 135 ± 25 ms following the reference. Placing the ablation catheter to AMC via retrograde approach was attempted in all cases but stable positioning achieved in none. Via transseptal approach, the ablation catheter could be easily placed at the AMC and recorded the earliest retrograde atrial activations with 60 ± 27 ms earlier than the relatively ‘earliest’ CS/HB recordings, and ablation at this site successfully eliminated AP conduction. No patients had recovered AP conduction after at least 12-month follow-up. Conclusion AMC-AP is featured by recording comparable retrograde atrial activation times at CSp, CSl, and HB with the latest recordings at the posterior CS. Stable placement and successful ablation in the AMC via retrograde aortic approach was difficult but can be achieved via transseptal approach.



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