Catheter ablation of inappropriate sinus tachycardia

被引：13

作者：

Gianni, Carola ^{[1
,2
]}

Di Biase, Luigi ^{[1
,3
,4
,5
]}

Mohanty, Sanghamitra ^{[1
]}

Gokoglan, Yalcin ^{[1
]}

Gunes, Mahmut F. ^{[1
]}

Horton, Rodney ^{[1
,4
]}

Hranitzky, Patrick M. ^{[1
]}

Burkhardt, J. David ^{[1
]}

Natale, Andrea ^{[1
,3
,4
,6
,7
,8
,9
,10
]}

机构：

[1] St Davids Med Ctr, Texas Cardiac Arrhythmia Inst, Austin, TX USA

[2] Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy

[3] Montefiore Med Ctr, Albert Einstein Coll Med, Bronx, NY 10467 USA

[4] Univ Texas Austin, Dept Biomed Engn, Austin, TX 78712 USA

[5] Univ Foggia, Dept Clin & Expt Med, Foggia, Italy

[6] Case Western Reserve Univ, Sch Med, Metrohlth Med Ctr, Cleveland, OH 44106 USA

[7] Stanford Univ, Div Cardiol, Stanford, CA 94305 USA

[8] Calif Pacific Med Ctr, Electrophysiol & Arrhythmia Serv, San Francisco, CA USA

[9] Scripps Clin, Intervent Electrophysiol, La Jolla, CA 92037 USA

[10] Univ Texas Austin, Dell Med Sch, Austin, TX 78712 USA

来源：

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY | 2016年 / 46卷 / 01期

关键词：

Inappropriate sinus tachycardia; Catheter ablation; Sinus node modification; NODE MODIFICATION;

D O I：

10.1007/s10840-015-0040-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：63 / 69

页数：7

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