Co-existence of atrial tachycardia and common atrial flutter

Electrophysiologic characteristics and radiofrequency catheter ablation

Chuen Wang Chiou, Shih Ann Chen, Ching Tai Tai, Chern En Chiang, Shih Huang Lee, Kwo Chang Ueng, Zu Chi Wen, Wen Chung Yu, Yi Jen Chen, Jin Long Huang, Chun Yin Chen, Mau Song Chang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Four patients, who had no prior atrial surgery, underwent radiofrequency ablation for clinically documented typical atrial flutter. In addition to typical atrial flutter re-entrant atrial tachycardia was initiated during electrophysiological study in these four patients. We used earliest atrial endocardial activation and concealed entrainment pace mapping with short stimulus-P interval (<40 ms) to identify the exit site of slow conduction area of atrial flutter and atrial tachycardia. The exit sites of slow conduction area of atrial flutter were located at the posteromedial right atrium between the coronary ostium and the tricuspid annulus and those of slow conduction area of atrial tachycardia were located at high lateral right atrium in all four patients. Radiofrequency energy applied to these exit sites successfully eliminated both atrial flutter and atrial tachycardia in these four patients. Typical atrial flutter and re- entrant atrial tachycardia with two distinct re-entrant circuits concomitantly occurring in patients without prior atrial surgery are rare. Radiofrequency ablation can abolish both atrial tachyarrhythmias in the same ablation session.

Original languageEnglish
Pages (from-to)79-85
Number of pages7
JournalInternational Journal of Cardiology
Volume55
Issue number1
DOIs
Publication statusPublished - Jul 5 1996
Externally publishedYes

Fingerprint

Atrial Flutter
Catheter Ablation
Tachycardia
Heart Atria

Keywords

  • Atrial flutter
  • Atrial tachycardia
  • Radiofrequency ablation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Co-existence of atrial tachycardia and common atrial flutter : Electrophysiologic characteristics and radiofrequency catheter ablation. / Chiou, Chuen Wang; Chen, Shih Ann; Tai, Ching Tai; Chiang, Chern En; Lee, Shih Huang; Ueng, Kwo Chang; Wen, Zu Chi; Yu, Wen Chung; Chen, Yi Jen; Huang, Jin Long; Chen, Chun Yin; Chang, Mau Song.

In: International Journal of Cardiology, Vol. 55, No. 1, 05.07.1996, p. 79-85.

Research output: Contribution to journalArticle

Chiou, CW, Chen, SA, Tai, CT, Chiang, CE, Lee, SH, Ueng, KC, Wen, ZC, Yu, WC, Chen, YJ, Huang, JL, Chen, CY & Chang, MS 1996, 'Co-existence of atrial tachycardia and common atrial flutter: Electrophysiologic characteristics and radiofrequency catheter ablation', International Journal of Cardiology, vol. 55, no. 1, pp. 79-85. https://doi.org/10.1016/S0167-5273(96)02630-7
Chiou, Chuen Wang ; Chen, Shih Ann ; Tai, Ching Tai ; Chiang, Chern En ; Lee, Shih Huang ; Ueng, Kwo Chang ; Wen, Zu Chi ; Yu, Wen Chung ; Chen, Yi Jen ; Huang, Jin Long ; Chen, Chun Yin ; Chang, Mau Song. / Co-existence of atrial tachycardia and common atrial flutter : Electrophysiologic characteristics and radiofrequency catheter ablation. In: International Journal of Cardiology. 1996 ; Vol. 55, No. 1. pp. 79-85.
@article{6f819cfe90264c6c87b5005ceb635260,
title = "Co-existence of atrial tachycardia and common atrial flutter: Electrophysiologic characteristics and radiofrequency catheter ablation",
abstract = "Four patients, who had no prior atrial surgery, underwent radiofrequency ablation for clinically documented typical atrial flutter. In addition to typical atrial flutter re-entrant atrial tachycardia was initiated during electrophysiological study in these four patients. We used earliest atrial endocardial activation and concealed entrainment pace mapping with short stimulus-P interval (<40 ms) to identify the exit site of slow conduction area of atrial flutter and atrial tachycardia. The exit sites of slow conduction area of atrial flutter were located at the posteromedial right atrium between the coronary ostium and the tricuspid annulus and those of slow conduction area of atrial tachycardia were located at high lateral right atrium in all four patients. Radiofrequency energy applied to these exit sites successfully eliminated both atrial flutter and atrial tachycardia in these four patients. Typical atrial flutter and re- entrant atrial tachycardia with two distinct re-entrant circuits concomitantly occurring in patients without prior atrial surgery are rare. Radiofrequency ablation can abolish both atrial tachyarrhythmias in the same ablation session.",
keywords = "Atrial flutter, Atrial tachycardia, Radiofrequency ablation",
author = "Chiou, {Chuen Wang} and Chen, {Shih Ann} and Tai, {Ching Tai} and Chiang, {Chern En} and Lee, {Shih Huang} and Ueng, {Kwo Chang} and Wen, {Zu Chi} and Yu, {Wen Chung} and Chen, {Yi Jen} and Huang, {Jin Long} and Chen, {Chun Yin} and Chang, {Mau Song}",
year = "1996",
month = "7",
day = "5",
doi = "10.1016/S0167-5273(96)02630-7",
language = "English",
volume = "55",
pages = "79--85",
journal = "International Journal of Cardiology",
issn = "0167-5273",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Co-existence of atrial tachycardia and common atrial flutter

T2 - Electrophysiologic characteristics and radiofrequency catheter ablation

AU - Chiou, Chuen Wang

AU - Chen, Shih Ann

AU - Tai, Ching Tai

AU - Chiang, Chern En

AU - Lee, Shih Huang

AU - Ueng, Kwo Chang

AU - Wen, Zu Chi

AU - Yu, Wen Chung

AU - Chen, Yi Jen

AU - Huang, Jin Long

AU - Chen, Chun Yin

AU - Chang, Mau Song

PY - 1996/7/5

Y1 - 1996/7/5

N2 - Four patients, who had no prior atrial surgery, underwent radiofrequency ablation for clinically documented typical atrial flutter. In addition to typical atrial flutter re-entrant atrial tachycardia was initiated during electrophysiological study in these four patients. We used earliest atrial endocardial activation and concealed entrainment pace mapping with short stimulus-P interval (<40 ms) to identify the exit site of slow conduction area of atrial flutter and atrial tachycardia. The exit sites of slow conduction area of atrial flutter were located at the posteromedial right atrium between the coronary ostium and the tricuspid annulus and those of slow conduction area of atrial tachycardia were located at high lateral right atrium in all four patients. Radiofrequency energy applied to these exit sites successfully eliminated both atrial flutter and atrial tachycardia in these four patients. Typical atrial flutter and re- entrant atrial tachycardia with two distinct re-entrant circuits concomitantly occurring in patients without prior atrial surgery are rare. Radiofrequency ablation can abolish both atrial tachyarrhythmias in the same ablation session.

AB - Four patients, who had no prior atrial surgery, underwent radiofrequency ablation for clinically documented typical atrial flutter. In addition to typical atrial flutter re-entrant atrial tachycardia was initiated during electrophysiological study in these four patients. We used earliest atrial endocardial activation and concealed entrainment pace mapping with short stimulus-P interval (<40 ms) to identify the exit site of slow conduction area of atrial flutter and atrial tachycardia. The exit sites of slow conduction area of atrial flutter were located at the posteromedial right atrium between the coronary ostium and the tricuspid annulus and those of slow conduction area of atrial tachycardia were located at high lateral right atrium in all four patients. Radiofrequency energy applied to these exit sites successfully eliminated both atrial flutter and atrial tachycardia in these four patients. Typical atrial flutter and re- entrant atrial tachycardia with two distinct re-entrant circuits concomitantly occurring in patients without prior atrial surgery are rare. Radiofrequency ablation can abolish both atrial tachyarrhythmias in the same ablation session.

KW - Atrial flutter

KW - Atrial tachycardia

KW - Radiofrequency ablation

UR - http://www.scopus.com/inward/record.url?scp=0030570414&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030570414&partnerID=8YFLogxK

U2 - 10.1016/S0167-5273(96)02630-7

DO - 10.1016/S0167-5273(96)02630-7

M3 - Article

VL - 55

SP - 79

EP - 85

JO - International Journal of Cardiology

JF - International Journal of Cardiology

SN - 0167-5273

IS - 1

ER -