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

doi:10.1007/s10840-015-0040-2

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

Medicine

Research output: Contribution to journal › Article › peer-review

16 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 language	English (US)
Pages (from-to)	63-69
Number of pages	7
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	46
Issue number	1
DOIs	https://doi.org/10.1007/s10840-015-0040-2
State	Published - 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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10.1007/s10840-015-0040-2

Cite this

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title = "Catheter ablation of inappropriate sinus tachycardia",

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.",

keywords = "Catheter ablation, Inappropriate sinus tachycardia, Sinus node modification",

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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 - 2016/6/1

Y1 - 2016/6/1

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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.

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Catheter ablation of inappropriate sinus tachycardia

Abstract

Keywords

ASJC Scopus subject areas

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