ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias—executive summary A Report of the American College of Cardiology/American HeartAssociation Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines(Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias)Developed in collaboration with NASPE–Heart Rhythm Society

Blomström‐Lundqvist, Carina; Scheinman, Melvin M.; Aliot, Étienne; Alpert, Joseph S.; Calkins, Hugh; Camm, A. John; Wb, Campbell; Haines, David E.; Kuck, Karl Heinz; Lerman, Bruce B.; Miller, D. Douglas; Shaeffer, Charlie W.; Stevenson, William G.; Tomaselli, Gordon F.; Antman, Elliott M.; Smith, Sidney C.; Faxon, David P.; Fuster, Valentı́n; Gibbons, Raymond J.; Gregoratosa, Gabriel; Hiratzka, Loren F.; Hunt, Sharon A.; Jacobs, Alice K.; Russell, Richard O.; Priori, Silvia G.; Blanc, Jean Jacques; Budaj, A; Burgos, Enrique Fernández; Cowie, Martin; Deckers, Jaap W.; García, María Ángeles Alonso; Klein, W.; Lekakis, John; Lindahl, Bertil; Mazzotta, Gianfranco; Morais, João; Oto, Ali̇; Smiseth, Otto A.; Trappe, H.-J.

doi:10.1016/j.ehj.2003.08.002

Cited by 313 publications

(431 citation statements)

References 205 publications

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“…No specific heart rate best defines IST, yet patients with IST generally have resting daytime sinus rates of more than 100 beats/min and average 24-h heart rates of more than 90 beats/min that are not explained by physiologic demands or conditions known commonly to increase heart rate [6][7][8][9][10]. Invasive testing, such as electrophysiology studies, is not useful for making the diagnosis, although it may be useful to exclude the presence of a supraventricular tachycardia mechanism [11].…”

Section: Discussionmentioning

confidence: 99%

The Choice Of Optimal Coronary Stents: Is It Possible To Maximize Cost-Effectiveness?

Gupta¹

2016

JCTCD

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Section: Discussionmentioning

confidence: 99%

The Choice Of Optimal Coronary Stents: Is It Possible To Maximize Cost-Effectiveness?

Gupta¹

2016

JCTCD

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“…ATs are frequently resistant to medical treatment; hence catheter ablation is an important alternative therapy [ 58]. Catheter ablation for focal AT has been proven safe and effective [3,5,6,9,10,20,39,[58][59][60][61], with reported success rates between 77 and 100%.…”

Section: Ablationmentioning

confidence: 99%

Mapping of Focal Right Atrial and Coronary Sinus Tachycardias

et al. 2012

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Focal atrial tachycardias (ATs) usually arise from well-defined anatomical regions in the right and the left atrium. The mechanisms include automaticity, triggered activity and microreentry. While the common presentation is paroxysmal supraventricular tachycardia (SVT), it can present as incessant tachycardia leading to cardiomyopathy. Distinctive P-wave morphology on a 12-lead electrocardiogram (ECG) can help localize the site of origin of focal AT. Atrial tachycardia is often resistant to medical therapy; hence catheter ablation offers a suitable alternative. Recent advances in three-dimensional mapping and navigation systems have contributed significantly to the improved success of catheter ablation of AT.

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“…The following parameters were measured and collected for each procedure: dose area product (DAP) in mGycm 2 ; fluoroscopy time, and total procedure time (in minutes). The total procedure time is the time from beginning (groin puncture) until withdrawal of all catheters, including a 30-min post-ablation waiting time.…”

Section: Methodsmentioning

confidence: 99%

“…Radiofrequency (RF) catheter ablation of the cavotricuspid isthmus (CTI) is routinely used in patients with typical right atrial flutter (AFl), due to the curative effect and low complication rate of the procedure [1][2][3]. Recent studies and modern medical imaging techniques have provided important insights into the specific anatomy of the CTI, which is frequently dependent on the underlying cardiac disease [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

The influence of cavotricuspid isthmus length on total radiofrequency energy to cure right atrial flutter

et al. 2016

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A b s t r a c t Background and aim:The complexity and success rate of right atrial flutter ablation is highly dependent on anatomical structures. Methods:The study comprised 35 consecutive patients (33-77 years old; 30 men) who underwent ablation of typical atrial flutter. The linear ablation line was measured offline as a surrogate for the cavotricuspid isthmus (CTI) length with the help of a three-dimensional mapping and navigation system (Ensite™). Biophysical parameters, such as total radiofrequency (RF) energy and time of the ablation procedure, were analysed to test the hypothesis that any of these variables show a correlation with the length of the ablation line.Results: Bidirectional isthmus block was achieved in all cases. The isthmus length had a mean value of 32 ± 12 mm with a range of 14-57 mm. The linear regression between the CTI length and the total RF energy was not significant. There was no significant difference in energy (32.281 ± 25.587 vs. 37.136 ± 24.250 W-s, p = NS) or in the total ablation time (759 ± 646 vs. 802 ± 533 s, p = NS) between the group with short (< 29 mm; n = 17) vs. long CTI (≥ 29 mm, n = 18). When comparing different ablation technologies, total RF energy delivered with 8-mm catheter technology (group I) was significantly lower than in patients with cross over from 8-mm to cooled ablation technology (group III) (29.615 ± 12.331 vs. 62.674 ± 28.735 W-s, p = 0.01). The same was true for the comparison between cooled ablation technology (group II) and group III (19.879 ± 13.669 vs. 62.674 ± 28.735 W-s, p = 0.002). Conclusions:The length of the CTI as measured with help of a three-dimensional mapping system may reflect only a weak indicator for the complexity of flutter ablation procedures. The thickness of musculature and specific anatomy of the CTI seem to be the main challenges in performing a linear ablation to achieve bidirectional block.

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Cited by 313 publications

References 205 publications

The Choice Of Optimal Coronary Stents: Is It Possible To Maximize Cost-Effectiveness?

The Choice Of Optimal Coronary Stents: Is It Possible To Maximize Cost-Effectiveness?

Mapping of Focal Right Atrial and Coronary Sinus Tachycardias

The influence of cavotricuspid isthmus length on total radiofrequency energy to cure right atrial flutter

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