Document Detail


Radiofrequency catheter ablation of atrial tachycardia.
MedLine Citation:
PMID:  7605294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Atrial tachycardia is a relatively uncommon arrhythmia which usually responds poorly to antiarrhythmic drug therapy. Transcatheter radiofrequency (RF) ablation is a new therapeutic modality for patients with atrial tachycardia. AIM: This study analyses our early experience with the treatment of atrial tachycardia by this technique. METHODS: Thirteen consecutive patients (age 13-63 years) with 15 drug-refractory atrial tachycardia foci were treated with RF catheter ablation. Atrial tachycardia was mapped by seeking the earliest atrial activation in the right atrium in eight patients and in the left atrium in five. RESULTS: Tachycardias were abolished in nine (69%) patients, including two sinoatrial re-entrant tachycardias and seven automatic atrial tachycardias, after 9 +/- 10 (range, one to 28) pulses of RF current. Six of these ablated atrial tachycardia foci were right sided and three were on the left. One patient had three separate right atrial tachycardia foci; one was eliminated. Tachycardia recurred after two weeks in one patient with apparently successful ablation of sinoatrial re-entrant tachycardia. One patient with successful ablation of a right atrial tachycardia developed cardiac tamponade requiring surgical intervention. CONCLUSION: This study demonstrates that atrial tachycardia arising from diverse sites can be eliminated by RF catheter ablation.
Authors:
L Wang; H R Weerasooriya; M J Davis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian and New Zealand journal of medicine     Volume:  25     ISSN:  0004-8291     ISO Abbreviation:  Aust N Z J Med     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-08-10     Completed Date:  1995-08-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1264322     Medline TA:  Aust N Z J Med     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  127-32     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Royal Perth Hospital, WA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiac Tamponade / etiology
Catheter Ablation*
Female
Follow-Up Studies
Heart Atria
Humans
Male
Middle Aged
Postoperative Complications
Sinoatrial Node / physiopathology
Tachycardia / physiopathology,  surgery*

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