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. 2022 Dec;33(4):467-475.
doi: 10.1007/s00399-022-00907-2. Epub 2022 Nov 7.

[Focal atrial tachycardias: diagnostics and therapy]

[Article in German]
Melanie A Gunawardene  1 , Jens Hartmann  2 , Marc Kottmaier  3 , Felix Bourier  3 , Sonia Busch  4 , Philipp Sommer  5 , Tilman Maurer  2 , Till Althoff  6   7 , Dong-In Shin  8   9 , David Duncker  10 , Victoria Johnson  11 , Heidi Estner  12 , Andreas Rillig  13 , Leon Iden  14 , Roland Tilz  15 , Andreas Metzner  16 , K R Julian Chun  17 , Daniel Steven  18 , Henning Jansen  19 , Amir Jadidi  20 , Stephan Willems  2
Affiliations

[Focal atrial tachycardias: diagnostics and therapy]

[Article in German]
Melanie A Gunawardene et al. Herzschrittmacherther Elektrophysiol. 2022 Dec.

Abstract
in English, German

In this article, typical characteristics of focal atrial tachycardias are described and a systematic approach regarding diagnostics and treatment options in the field of invasive cardiac electrophysiology (EP) is presented. Subjects of this article include the definition of focal atrial tachycardias, knowledge about localizing the origin of such, and guidance on how to approach an invasive EP study (e.g., administration of medication during the EP study to provoke tachycardias). Further, descriptions will be found on how to localize the origin of focal atrial tachycardias with the help of the 12-lead ECG and invasive three-dimensional mapping to successfully treat focal atrial tachycardias with catheter ablation.

Neben den typischen Eigenschaften fokaler atrialer Tachykardien soll in dieser Arbeit die systematische Herangehensweise an die Diagnostik und Therapie im Rahmen der invasiven Elektrophysiologie vorgestellt werden. Mit Hilfe dieses Übersichtsartikels soll gezeigt werden, wie fokale atriale Tachykardien definiert und wo sie lokalisiert sind, was bei der Durchführung der elektrophysiologischen Untersuchung wichtig ist (wie z. B. die Gabe von Medikamenten zur Provokation) und wie man mithilfe des Oberflächen-EKGs und dreidimensionaler Mappingverfahren die Lokalisation des Ursprungs der fokalen atrialen Tachykardien erkennen und diese so erfolgreich abladieren kann.

Keywords: Ablation; Atrial tachycardia; Focus; Mapping.

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References

Literatur

    1. Brugada J et al (2020) 2019 ESC Guidelines for the management of patients with supraventricular tachycardia. Eur Heart J 41(5):655–720 - DOI - PubMed
    1. Roberts-Thomson KC, Kistler PM, Kalman JM (2006) Focal Atrial Tachycardia I: Clinical Features, Diagnosis, Mechanisms, and Anatomic Location. Pacing Clin Electrophysiol 29:643–652 - DOI - PubMed
    1. Markowitz SM et al (2019) Atrial Tachycardias and Atypical Atrial Flutters: Mechanisms and Approaches to Ablation. Arrhythm Electrophysiol Rev 8(2):131–137 - DOI - PubMed - PMC
    1. Frontera A et al (2018) Characterizing localized reentry with high-resolution mapping: Evidence for multiple slow conducting isthmuses within the circuit. Heart Rhythm 16(5):679–685 - DOI - PubMed
    1. Kottmaier, M. et al., 2022. Atypisches Vorhofflattern: Diagnostik und Therapie [Atypical atrial fibrillation: Diagnostics and therapy]. Herzschrittmacherther Elektrophysiol. 33(3), pp. 341–350.

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