Catheter ablation of inappropriate sinus tachycardia

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 sinu...

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Bibliographic Details
Published in:Journal of interventional cardiac electrophysiology 2016-06, Vol.46 (1), p.63-69
Main Authors: Gianni, Carola, Di Biase, Luigi, Mohanty, Sanghamitra, Gökoğlan, Yalçın, Güneş, Mahmut F., Horton, Rodney, Hranitzky, Patrick M., Burkhardt, J. David, Natale, Andrea
Format: Article
Language:English
Subjects:
Adrenergic beta-Antagonists - administration & dosage
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - methods
Cardiology
Catheter Ablation - adverse effects
Catheter Ablation - methods
Evidence-Based Medicine
Humans
Medicine
Medicine & Public Health
Patient Selection
Preoperative Care - methods
Prognosis
Review
Sinoatrial Node - diagnostic imaging
Sinoatrial Node - surgery
Surgery, Computer-Assisted - methods
Tachycardia, Sinus - diagnostic imaging
Tachycardia, Sinus - surgery
Treatment Outcome
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Summary: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.
ISSN:1383-875X
1572-8595
DOI:10.1007/s10840-015-0040-2