Catheter ablation of inappropriate sinus tachycardia

Carola Gianni, Luigi Di Biase, Sanghamitra Mohanty, Yalçın Gökoğlan, Mahmut F. Güneş, Rodney Horton, Patrick M. Hranitzky, J. David Burkhardt, Andrea Natale

Research output: Contribution to journalArticle

9 Scopus citations

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 languageEnglish (US)
Pages (from-to)63-69
Number of pages7
JournalJournal of Interventional Cardiac Electrophysiology
Volume46
Issue number1
DOIs
StatePublished - Jun 1 2016

Keywords

  • Catheter ablation
  • Inappropriate sinus tachycardia
  • Sinus node modification

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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  • Cite this

    Gianni, C., Di Biase, L., Mohanty, S., Gökoğlan, Y., Güneş, M. F., Horton, R., Hranitzky, P. M., Burkhardt, J. D., & Natale, A. (2016). Catheter ablation of inappropriate sinus tachycardia. Journal of Interventional Cardiac Electrophysiology, 46(1), 63-69. https://doi.org/10.1007/s10840-015-0040-2