29. Management of Atrial Tachycardias Arising in the Context of Atrial Fibrillation Ablation

  1. Mohammad Shenasa MD2,
  2. Gerhard Hindricks MD3,
  3. Martin Borggrefe MD4,
  4. Günter Breithardt MD5 and
  5. Mark E. Josephson MD6
  1. Amir S. Jadidi,
  2. Ashok J. Shah,
  3. Meleze Hocini,
  4. Michel Haïssaguerre and
  5. Pierre Jaïs

Published Online: 18 DEC 2012

DOI: 10.1002/9781118481585.ch29

Cardiac Mapping, Fourth Edition

Cardiac Mapping, Fourth Edition

How to Cite

Jadidi, A. S., Shah, A. J., Hocini, M., Haïssaguerre, M. and Pierre Jaïs (2013) Management of Atrial Tachycardias Arising in the Context of Atrial Fibrillation Ablation, in Cardiac Mapping, Fourth Edition (eds M. Shenasa, G. Hindricks, M. Borggrefe, G. Breithardt and M. E. Josephson), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118481585.ch29

Editor Information

  1. 2

    Attending Physician, Department of Cardiovascular Services, O'Connor Hospital, Heart & Rhythm Medical Group, San Jose, California, USA

  2. 3

    Professor of Medicine (Cardiology), University Leipzig, Heart Center, Director, Department of Electrophysiology, Leipzig, Germany

  3. 4

    Professor of Medicine (Cardiology), Head, Department of Cardiology, Angiology and Pneumology, University Medical Center, Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany

  4. 5

    Professor Emeritus of Medicine and Cardiology, Department of Cardiology and Angiology, Hospital of the University of Münster, Münster, Germany

  5. 6

    Chief, Cardiovascular Medicine Division, Director, Harvard-Thorndike Electrophysiology Institute and Arrhythmia Service, Beth Israel Deaconess Medical Center, Herman C. Dana Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. Hôpital Cardiologique du Haut-Lévêque and Université Bordeaux II, Bordeaux, France

Publication History

  1. Published Online: 18 DEC 2012
  2. Published Print: 10 JAN 2013

ISBN Information

Print ISBN: 9780470670460

Online ISBN: 9781118481585

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Keywords:

  • atrial tachycardia;
  • focal;
  • localized reentry;
  • macroreentry;
  • mitral isthmus;
  • roof line;
  • ablation;
  • pulmonary vein isolation

Summary

With the discovery of the pulmonary veins as drivers of atrial fibrillation a decade ago, left atrial ablations are undertaken widely with the aim to isolate the pulmonary veins and to modify the atrial substrate of atrial fibrillation (sites of continuously fractionated electrical activity, linear ablations). Therefore, the incidence of left atrial scar-related tachycardia has substantially increased. The differential diagnosis of the three different atrial tachycardia mechanisms is presented in this chapter. Typical clinical examples with electrocardiograms (ECGs) and intracardiac findings of the atrial tachycardias are presented. The incidence, diagnosis and the ablative treatment of scar-related atrial tachycardia are presented and discussed.