Abstract
Catheter ablation for inappropriate sinus tachycardia (IST) is recommended for patients symptomatic for palpitations and refractory to other treatments. The current approach consists in sinus node modification (SNM), achieved by ablation of the cranial part of the sinus node to eliminate faster sinus rates while trying to preserve chronotropic competence. This approach has a limited efficacy, with a very modest long-term clinical success. To overcome this, proper patient selection is crucial and an epicardial approach should always be considered. This brief review will discuss the current role and limitations of catheter ablation in the management of patients with IST.
| Original language | English (US) |
|---|---|
| Journal | Journal of Interventional Cardiac Electrophysiology |
| DOIs | |
| State | Accepted/In press - Aug 27 2015 |
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Keywords
- Catheter ablation
- Inappropriate sinus tachycardia
- Sinus node modification
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology (medical)
Cite this
Catheter ablation of inappropriate sinus tachycardia. / Gianni, Carola; Di Biase, Luigi; Mohanty, Sanghamitra; Gökoğlan, Yalçın; Güneş, Mahmut F.; Horton, Rodney; Hranitzky, Patrick M.; Burkhardt, J. David; Natale, Andrea.
In: Journal of Interventional Cardiac Electrophysiology, 27.08.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Catheter ablation of inappropriate sinus tachycardia
AU - Gianni, Carola
AU - Di Biase, Luigi
AU - Mohanty, Sanghamitra
AU - Gökoğlan, Yalçın
AU - Güneş, Mahmut F.
AU - Horton, Rodney
AU - Hranitzky, Patrick M.
AU - Burkhardt, J. David
AU - Natale, Andrea
PY - 2015/8/27
Y1 - 2015/8/27
N2 - Catheter ablation for inappropriate sinus tachycardia (IST) is recommended for patients symptomatic for palpitations and refractory to other treatments. The current approach consists in sinus node modification (SNM), achieved by ablation of the cranial part of the sinus node to eliminate faster sinus rates while trying to preserve chronotropic competence. This approach has a limited efficacy, with a very modest long-term clinical success. To overcome this, proper patient selection is crucial and an epicardial approach should always be considered. This brief review will discuss the current role and limitations of catheter ablation in the management of patients with IST.
AB - Catheter ablation for inappropriate sinus tachycardia (IST) is recommended for patients symptomatic for palpitations and refractory to other treatments. The current approach consists in sinus node modification (SNM), achieved by ablation of the cranial part of the sinus node to eliminate faster sinus rates while trying to preserve chronotropic competence. This approach has a limited efficacy, with a very modest long-term clinical success. To overcome this, proper patient selection is crucial and an epicardial approach should always be considered. This brief review will discuss the current role and limitations of catheter ablation in the management of patients with IST.
KW - Catheter ablation
KW - Inappropriate sinus tachycardia
KW - Sinus node modification
UR - http://www.scopus.com/inward/record.url?scp=84940056364&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84940056364&partnerID=8YFLogxK
U2 - 10.1007/s10840-015-0040-2
DO - 10.1007/s10840-015-0040-2
M3 - Article
C2 - 26310299
AN - SCOPUS:84940056364
JO - Journal of Interventional Cardiac Electrophysiology
JF - Journal of Interventional Cardiac Electrophysiology
SN - 1383-875X
ER -