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Catheter ablation of inappropriate sinus tachycardia

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Abstract

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.

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Author information

Authors and Affiliations

  1. Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, Austin, TX, USA

    Carola Gianni, Luigi Di Biase, Sanghamitra Mohanty, Yalçın Gökoğlan, Mahmut F. Güneş, Rodney Horton, Patrick M. Hranitzky, J. David Burkhardt & Andrea Natale

  2. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy

    Carola Gianni

  3. Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA

    Luigi Di Biase & Andrea Natale

  4. Department of Biomedical Engineering, University of Texas, Austin, TX, USA

    Luigi Di Biase, Rodney Horton & Andrea Natale

  5. Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy

    Luigi Di Biase

  6. Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH, USA

    Andrea Natale

  7. Division of Cardiology, Stanford University, Stanford, CA, USA

    Andrea Natale

  8. Electrophysiology and Arrhythmia Services, California Pacific Medical Center, San Francisco, CA, USA

    Andrea Natale

  9. Interventional Electrophysiology, Scripps Clinic, La Jolla, CA, USA

    Andrea Natale

  10. Dell Medical School, University of Texas, Austin, TX, USA

    Andrea Natale

Authors
  1. Carola Gianni
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  2. Luigi Di Biase
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  3. Sanghamitra Mohanty
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  4. Yalçın Gökoğlan
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  5. Mahmut F. Güneş
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  6. Rodney Horton
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  7. Patrick M. Hranitzky
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  8. J. David Burkhardt
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  9. Andrea Natale
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Corresponding author

Correspondence to Andrea Natale.

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Gianni, C., Di Biase, L., Mohanty, S. et al. Catheter ablation of inappropriate sinus tachycardia. J Interv Card Electrophysiol 46, 63–69 (2016). https://doi.org/10.1007/s10840-015-0040-2

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  • DOI: https://doi.org/10.1007/s10840-015-0040-2

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