Inappropriate Sinus Tachycardia After Radiofrequency Ablation of Para‐Hisian Accessory Pathways
Abstract
Introduction Inappropriate sinus tachycardia (IST) has been observed following radiofrequency ablation (RFA) of the AV nodal fast pathway. This study was aimed to prospectively analyze the incidence and clinical significance of IST following RFA of para-Hisian accessory pathways (APs). Methods and results Twenty-eight patients (pts) with para-Hisian APs underwent RFA. An AP was defined as para-Hisian whenever its atrial and ventricular insertions were associated with a His-bundle potential > or = 0.1 mV. RF current was always delivered at the atrial aspect of the tricuspid annulus, to a site where the His-bundle potential was Conclusion IST is a relatively frequent complication after RFA of para-Hisian APs: it is generally short-lasting and usually does not require any treatment. IST after catheter ablation is likely to depend upon transient parasympathetic denervation of the sinus node.
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Radiofrequency catheter ablation to modify the sinus node or eliminate sympathetic inputs, at best, is partially effective.
“Radiofrequency catheter ablation to modify the sinus node or eliminate sympathetic inputs, at best, is partially effective. 10,30,60,61,76-88”
From Inappropriate sinus tachycardia (2019) · cites this paper as [30]
Cites
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Inappropriate sinus tachycardia
Olshansky, B., & Sullivan, R. M. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2012.07.074 · Cited by 182 · see citing works
Inappropriate sinus tachycardia
Olshansky, B., & Sullivan, R. M. (2019) · EP Europace · doi:10.1093/europace/euy128 · Cited by 80 · see citing works
Sinus Tachycardia: a Multidisciplinary Expert Focused Review
Mayuga, K. A., Fedorowski, A., Ricci, F., Gopinathannair, R., Dukes, J. W., Gibbons, C., Hanna, P., Sorajja, D., Chung, M., Benditt, D., et al. (2022) · Circulation: Arrhythmia and Electrophysiology · doi:10.1161/circep.121.007960 · Cited by 59 · see citing works
Baruscotti, M., Bianco, E., Bucchi, A., & DiFrancesco, D. (2016) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-015-0097-y · Cited by 37 · see citing works
PTASZYNSKI, P., KACZMAREK, K., RUTA, J., KLINGENHEBEN, T., & WRANICZ, J. K. (2013) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.12018 · Cited by 23 · see citing works
What’s so inappropriate about sinus tachycardia?
OLSHANSKY, B. (2008) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2008.01179.x · Cited by 12 · see citing works
- Authors
- PAPPONE, C., STABILE, G., ORETO, G., DE SIMONE, A., RILLO, M., MAZZONE, P., CAPPATO, R., & CHIERCHIA, S.
- Affiliations
- IRCCS Ospedale San Raffaele (IT)
- Casa di Cura San Michele (IT)
- University of Messina (IT)
- Asklepios Klinik St. Georg (DE)
- Corresponding author
- PAPPONE, CARLO
- Venue
- Journal of Cardiovascular Electrophysiology
- Publisher
- Wiley
- Published
- 1997-12
- Volume
- 8
- Issue
- 12
- Pages
- 1357-1365
- ISSN
- 1045-3873 (ISSN-L)
- 1540-8167
- OpenAlex
- W2063683371
- Cited by
- 42
- References
- 1
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 1 · 2012: 2
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cardiovascular Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- inappropriate sinus tachycardia, radiofrequency ablation complications, atrioventricular nodal reentrant tachycardia, His bundle potential, heart rate variability, parasympathetic denervation, sinoatrial node
- MeSH terms
- Adolescent, Adult, Atrioventricular Node, Female, Humans, Male, Tachycardia, Sinus, Wolff-Parkinson-White Syndrome, Catheter Ablation
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