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atrial tachycardia

MedGen UID:
107485
•Concept ID:
C0546959
•
Disease or Syndrome
Synonym: Atrial tachycardia
SNOMED CT: Atrial tachycardia (276796006)
 
Monarch Initiative: MONDO:0005479

Definition

A disorder characterized by an electrocardiographic finding of an organized, regular atrial rhythm with atrial rate between 101 and 240 beats per minute. The P wave morphology must be distinct from the sinus P wave morphology. (CDISC) [from NCI]

Professional guidelines

PubMed

Supraventricular tachycardia: An overview of diagnosis and management.
Kotadia ID, Williams SE, O'Neill M
Clin Med (Lond) 2020 Jan;20(1):43-47. doi: 10.7861/clinmed.cme.20.1.3. PMID: 31941731Free PMC Article
2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.
Calkins H, Hindricks G, Cappato R, Kim YH, Saad EB, Aguinaga L, Akar JG, Badhwar V, Brugada J, Camm J, Chen PS, Chen SA, Chung MK, Cosedis Nielsen J, Curtis AB, Davies DW, Day JD, d'Avila A, Natasja de Groot NMS, Di Biase L, Duytschaever M, Edgerton JR, Ellenbogen KA, Ellinor PT, Ernst S, Fenelon G, Gerstenfeld EP, Haines DE, Haissaguerre M, Helm RH, Hylek E, Jackman WM, Jalife J, Kalman JM, Kautzner J, Kottkamp H, Kuck KH, Kumagai K, Lee R, Lewalter T, Lindsay BD, Macle L, Mansour M, Marchlinski FE, Michaud GF, Nakagawa H, Natale A, Nattel S, Okumura K, Packer D, Pokushalov E, Reynolds MR, Sanders P, Scanavacca M, Schilling R, Tondo C, Tsao HM, Verma A, Wilber DJ, Yamane T; Document Reviewers:
Europace 2018 Jan 1;20(1):e1-e160. doi: 10.1093/europace/eux274. PMID: 29016840Free PMC Article
2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.
Calkins H, Hindricks G, Cappato R, Kim YH, Saad EB, Aguinaga L, Akar JG, Badhwar V, Brugada J, Camm J, Chen PS, Chen SA, Chung MK, Nielsen JC, Curtis AB, Davies DW, Day JD, d'Avila A, de Groot NMSN, Di Biase L, Duytschaever M, Edgerton JR, Ellenbogen KA, Ellinor PT, Ernst S, Fenelon G, Gerstenfeld EP, Haines DE, Haissaguerre M, Helm RH, Hylek E, Jackman WM, Jalife J, Kalman JM, Kautzner J, Kottkamp H, Kuck KH, Kumagai K, Lee R, Lewalter T, Lindsay BD, Macle L, Mansour M, Marchlinski FE, Michaud GF, Nakagawa H, Natale A, Nattel S, Okumura K, Packer D, Pokushalov E, Reynolds MR, Sanders P, Scanavacca M, Schilling R, Tondo C, Tsao HM, Verma A, Wilber DJ, Yamane T
Heart Rhythm 2017 Oct;14(10):e275-e444. Epub 2017 May 12 doi: 10.1016/j.hrthm.2017.05.012. PMID: 28506916Free PMC Article

Recent clinical studies

Etiology

Catheter ablation or medical therapy to delay progression of atrial fibrillation: the randomized controlled atrial fibrillation progression trial (ATTEST).
Kuck KH, Lebedev DS, Mikhaylov EN, Romanov A, Gellér L, Kalējs O, Neumann T, Davtyan K, On YK, Popov S, Bongiorni MG, Schlüter M, Willems S, Ouyang F
Europace 2021 Mar 8;23(3):362-369. doi: 10.1093/europace/euaa298. PMID: 33330909Free PMC Article
The left atrial appendage in humans: structure, physiology, and pathogenesis.
Karim N, Ho SY, Nicol E, Li W, Zemrak F, Markides V, Reddy V, Wong T
Europace 2020 Jan 1;22(1):5-18. doi: 10.1093/europace/euz212. PMID: 31578542
Atrial tachycardia: mechanisms and management.
Patel A, Markowitz SM
Expert Rev Cardiovasc Ther 2008 Jul;6(6):811-22. doi: 10.1586/14779072.6.6.811. PMID: 18570619
Incessant tachycardias.
Wren C
Eur Heart J 1998 May;19 Suppl E:E32-6, E54-9. PMID: 9717022
Atrial fibrillation.
Bennett D
Eur Heart J 1984 Mar;5 Suppl A:89-93. doi: 10.1093/eurheartj/5.suppl_a.89. PMID: 6373290

Diagnosis

P-Wave Morphology in Focal Atrial Tachycardia: An Updated Algorithm to Predict Site of Origin.
Kistler PM, Chieng D, Tonchev IR, Sugumar H, Voskoboinik A, Schwartz LA, McLellan AJ, Prabhu S, Ling LH, Al-Kaisey A, Parameswaran R, Anderson RD, Lee G, Kalman JM
JACC Clin Electrophysiol 2021 Dec;7(12):1547-1556. Epub 2021 Jun 30 doi: 10.1016/j.jacep.2021.05.005. PMID: 34217661
Teriparatide-induced atrial tachycardia.
Ziffra JB Jr, Olshansky B
BMJ Case Rep 2018 Feb 27;2018 doi: 10.1136/bcr-2017-223035. PMID: 29487102Free PMC Article
Focal atrial tachycardia.
Rosso R, Kistler PM
Heart 2010 Feb;96(3):181-5. Epub 2009 May 13 doi: 10.1136/hrt.2008.143552. PMID: 19443472
Atrial tachycardia: mechanisms, diagnosis, and management.
Roberts-Thomson KC, Kistler PM, Kalman JM
Curr Probl Cardiol 2005 Oct;30(10):529-73. doi: 10.1016/j.cpcardiol.2005.06.004. PMID: 16182016
Multifocal atrial tachycardia.
McCord J, Borzak S
Chest 1998 Jan;113(1):203-9. doi: 10.1378/chest.113.1.203. PMID: 9440591

Therapy

Effect of Catheter Ablation With Vein of Marshall Ethanol Infusion vs Catheter Ablation Alone on Persistent Atrial Fibrillation: The VENUS Randomized Clinical Trial.
Valderrábano M, Peterson LE, Swarup V, Schurmann PA, Makkar A, Doshi RN, DeLurgio D, Athill CA, Ellenbogen KA, Natale A, Koneru J, Dave AS, Giorgberidze I, Afshar H, Guthrie ML, Bunge R, Morillo CA, Kleiman NS
JAMA 2020 Oct 27;324(16):1620-1628. doi: 10.1001/jama.2020.16195. PMID: 33107945Free PMC Article
Effect of Renal Denervation and Catheter Ablation vs Catheter Ablation Alone on Atrial Fibrillation Recurrence Among Patients With Paroxysmal Atrial Fibrillation and Hypertension: The ERADICATE-AF Randomized Clinical Trial.
Steinberg JS, Shabanov V, Ponomarev D, Losik D, Ivanickiy E, Kropotkin E, Polyakov K, Ptaszynski P, Keweloh B, Yao CJ, Pokushalov EA, Romanov AB
JAMA 2020 Jan 21;323(3):248-255. doi: 10.1001/jama.2019.21187. PMID: 31961420Free PMC Article
Postablation Atrial Arrhythmias.
Kapa S
Card Electrophysiol Clin 2019 Dec;11(4):573-582. doi: 10.1016/j.ccep.2019.08.008. PMID: 31706466
Cryoballoon or Radiofrequency Ablation for Atrial Fibrillation Assessed by Continuous Monitoring: A Randomized Clinical Trial.
Andrade JG, Champagne J, Dubuc M, Deyell MW, Verma A, Macle L, Leong-Sit P, Novak P, Badra-Verdu M, Sapp J, Mangat I, Khoo C, Steinberg C, Bennett MT, Tang ASL, Khairy P; CIRCA-DOSE Study Investigators
Circulation 2019 Nov 26;140(22):1779-1788. Epub 2019 Oct 21 doi: 10.1161/CIRCULATIONAHA.119.042622. PMID: 31630538
Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation.
Kuck KH, Brugada J, Fürnkranz A, Metzner A, Ouyang F, Chun KR, Elvan A, Arentz T, Bestehorn K, Pocock SJ, Albenque JP, Tondo C; FIRE AND ICE Investigators
N Engl J Med 2016 Jun 9;374(23):2235-45. Epub 2016 Apr 4 doi: 10.1056/NEJMoa1602014. PMID: 27042964

Prognosis

Marshall bundle elimination, Pulmonary vein isolation, and Line completion for ANatomical ablation of persistent atrial fibrillation (Marshall-PLAN): Prospective, single-center study.
Derval N, Duchateau J, Denis A, Ramirez FD, Mahida S, André C, Krisai P, Nakatani Y, Kitamura T, Takigawa M, Chauvel R, Tixier R, Pillois X, Sacher F, Hocini M, Haïssaguerre M, Jaïs P, Pambrun T
Heart Rhythm 2021 Apr;18(4):529-537. Epub 2020 Dec 29 doi: 10.1016/j.hrthm.2020.12.023. PMID: 33383226
Clinical and Electrophysiological Correlates of Incessant Ivabradine-Sensitive Atrial Tachycardia.
Banavalikar B, Shenthar J, Padmanabhan D, Valappil SP, Singha SI, Kottayan A, Ghadei M, Ali M
Circ Arrhythm Electrophysiol 2019 Aug;12(8):e007387. Epub 2019 Jul 26 doi: 10.1161/CIRCEP.119.007387. PMID: 31345093
Mechanism, underlying substrate and predictors of atrial tachycardia following atrial fibrillation ablation using the second-generation cryoballoon.
Lyan E, Yalin K, Abdin A, Sawan N, Liosis S, Lange SA, Eitel I, Heeger CH, Meyer-Saraei R, Eitel C, Tilz RR
J Cardiol 2019 Jun;73(6):497-506. Epub 2019 Mar 13 doi: 10.1016/j.jjcc.2019.02.006. PMID: 30878353
Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation.
Kuck KH, Brugada J, Fürnkranz A, Metzner A, Ouyang F, Chun KR, Elvan A, Arentz T, Bestehorn K, Pocock SJ, Albenque JP, Tondo C; FIRE AND ICE Investigators
N Engl J Med 2016 Jun 9;374(23):2235-45. Epub 2016 Apr 4 doi: 10.1056/NEJMoa1602014. PMID: 27042964
Atrial pacing for the prevention and termination of atrial fibrillation.
Savelieva I, Camm AJ
Am J Geriatr Cardiol 2002 Nov-Dec;11(6):380-98. doi: 10.1111/j.1076-7460.2002.00072.x. PMID: 12417845

Clinical prediction guides

P-Wave Morphology in Focal Atrial Tachycardia: An Updated Algorithm to Predict Site of Origin.
Kistler PM, Chieng D, Tonchev IR, Sugumar H, Voskoboinik A, Schwartz LA, McLellan AJ, Prabhu S, Ling LH, Al-Kaisey A, Parameswaran R, Anderson RD, Lee G, Kalman JM
JACC Clin Electrophysiol 2021 Dec;7(12):1547-1556. Epub 2021 Jun 30 doi: 10.1016/j.jacep.2021.05.005. PMID: 34217661
Clinical and Electrophysiological Correlates of Incessant Ivabradine-Sensitive Atrial Tachycardia.
Banavalikar B, Shenthar J, Padmanabhan D, Valappil SP, Singha SI, Kottayan A, Ghadei M, Ali M
Circ Arrhythm Electrophysiol 2019 Aug;12(8):e007387. Epub 2019 Jul 26 doi: 10.1161/CIRCEP.119.007387. PMID: 31345093
Entrainment mapping: Theoretical considerations and practical implementation.
Schaeffer B, Stevenson WG
J Cardiovasc Electrophysiol 2018 Jan;29(1):204-213. Epub 2017 Oct 31 doi: 10.1111/jce.13348. PMID: 28940739
P-wave morphology in focal atrial tachycardia: development of an algorithm to predict the anatomic site of origin.
Kistler PM, Roberts-Thomson KC, Haqqani HM, Fynn SP, Singarayar S, Vohra JK, Morton JB, Sparks PB, Kalman JM
J Am Coll Cardiol 2006 Sep 5;48(5):1010-7. Epub 2006 Aug 17 doi: 10.1016/j.jacc.2006.03.058. PMID: 16949495
Atrial fibrillation.
Bennett D
Eur Heart J 1984 Mar;5 Suppl A:89-93. doi: 10.1093/eurheartj/5.suppl_a.89. PMID: 6373290

Recent systematic reviews

Arrhythmias Beyond Atrial Fibrillation Detection Using Smartwatches: A Systematic Review.
Pay L, Yumurtaş AÇ, Satti DI, Hui JMH, Chan JSK, Mahalwar G, Lee YHA, Tezen O, Birdal O, Inan D, Özkan E, Tse G, Çinier G
Anatol J Cardiol 2023 Mar;27(3):126-131. doi: 10.14744/AnatolJCardiol.2023.2799. PMID: 36856589Free PMC Article
Revisiting the characteristics and ablation strategy of biatrial tachycardias: a case series and systematic review.
Lai Y, Guo Q, Sang C, Gao M, Huang L, Zuo S, Lu Z, Jiang C, Li S, Guo X, Wang W, Liu N, Li C, Liu X, Zhao X, Tang R, Long D, Du X, Dong J, Ma C
Europace 2023 Mar 30;25(3):905-913. doi: 10.1093/europace/euac231. PMID: 36563053Free PMC Article
Maternal focal atrial tachycardia during pregnancy: A systematic review.
Wang NC, Shen C, McLaughlin TJ, Li JZ, Hauspurg A, Berlacher KL, Bhonsale A, Jain SK, Kancharla K, Saba S
J Cardiovasc Electrophysiol 2020 Nov;31(11):2982-2997. Epub 2020 Sep 21 doi: 10.1111/jce.14738. PMID: 32897619Free PMC Article
Efficacy and safety of driver-guided catheter ablation for atrial fibrillation: A systematic review and meta-analysis.
Ramirez FD, Birnie DH, Nair GM, Szczotka A, Redpath CJ, Sadek MM, Nery PB
J Cardiovasc Electrophysiol 2017 Dec;28(12):1371-1378. Epub 2017 Sep 5 doi: 10.1111/jce.13313. PMID: 28800192
Catheter ablation for atrial fibrillation in hypertrophic cardiomyopathy: a systematic review and meta-analysis.
Providencia R, Elliott P, Patel K, McCready J, Babu G, Srinivasan N, Bronis K, Papageorgiou N, Chow A, Rowland E, Lowe M, Segal OR, Lambiase PD
Heart 2016 Oct 1;102(19):1533-43. Epub 2016 May 27 doi: 10.1136/heartjnl-2016-309406. PMID: 27234160

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