P wave morphology in guiding the ablation strategy of focal atrial tachycardias and atrial flutter

Current Cardiology Reviews

Volumn 11, Issue 2, 2015, Pages 103-110

  Lee, Justin M S ^a   Fynn, Simon P ^a  

^a PAPWORTH HOSPITAL   (United Kingdom)

Author keywords

Atrial tachycardia; Catheter ablation; P wave morphology

Indexed keywords

ISOPRENALINE;

ALGORITHM; ARTICLE; CATHETER ABLATION; CORONARY SINUS; ELECTROCARDIOGRAPHY; ELECTROPHYSIOLOGY PARAMETERS; FRIEDREICH ATAXIA; FUNCTIONAL MORPHOLOGY; HEART ATRIUM APPENDAGE; HEART ATRIUM FLUTTER; HEART ELECTROPHYSIOLOGY; HEART FUNCTION; HUMAN; P WAVE; PRIORITY JOURNAL; QRS COMPLEX; SUPRAVENTRICULAR TACHYCARDIA; T WAVE AMPLITUDE; HEART ATRIUM; PATHOPHYSIOLOGY; TACHYCARDIA;

ALGORITHMS; ATRIAL FLUTTER; CATHETER ABLATION; ELECTROCARDIOGRAPHY; HEART ATRIA; HUMANS; TACHYCARDIA;

EID: 84964312625     PISSN: 1573403X     EISSN: 18756557     Source Type: Journal    
DOI: 10.2174/1573403x10666141013121252     Document Type: Article

References (40)

1. Saoudi N, Cosio F, Waldo A, et al. A classification of atrial flutter and regular atrial tachycardia according to electrophysiological mechanisms and anatomical bases; a Statement from a Joint Expert Group from The Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J 2001; 22(14): 1162-82.
2. Chen SA, Chiang CE, Yang CJ, et al. Sustained atrial tachycardia in adult patients. Electrophysiological characteristics, pharmacological response, possible mechanisms, and effects of radiofrequency ablation. Circulation 1994; 90(3): 1262-78.
3. Ho SY, Anderson RH, Sanchez-Quintana D. Atrial structure and fibres: morphologic bases of atrial conduction. Cardiovasc Res 2002; 54(2): 325-36.
4. Platonov PG, Mitrofanova L, Ivanov V, et al. Substrates for intraatrial and interatrial conduction in the atrial septum: anatomical study on 84 human hearts. Heart Rhythm 2008; 5(8): 1189-95.
5. Holmqvist F, Husser D, Tapanainen JM, et al. Interatrial conduction can be accurately determined using standard 12-lead electrocardiography:validation of P-wave morphology using electroanatomic mapping in man. Heart Rhythm 2008; 5(3): 413-8.
6. Waldo AL, Vitikainen KJ, Kaiser GA, et al. The P wave and P-R interval. Effects of the site of origin of atrial depolarization. Circulation 1970; 42(4): 653-71.
7. Markides V, Schilling RJ, Ho SY, et al. Characterization of left atrial activation in the intact human heart. Circulation 2003; 107(5):733-9.
8. Higa S, Tai CT, Lin YJ, et al. Focal atrial tachycardia: new insight from noncontact mapping and catheter ablation. Circulation 2004; 109(1): 84-91.
9. Betts TR, Roberts PR, Morgan JM. High-density mapping of left atrial endocardial activation during sinus rhythm and coronary sinus pacing in patients with paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2004; 15(10): 1111-7.
10. Lee JM, Turner I, Agarwal A, et al. An unusual atrial tachycardia in a patient with Friedreich ataxia. Europace 2011; 13(11): 1660-1.
11. Tang CW, Scheinman MM, Van Hare GF, et al. Use of P wave configuration during atrial tachycardia to predict site of origin. J Am Coll Cardiol 1995; 26(5): 1315-24.
12. Kistler PM, Roberts-Thomson KC, Haqqani HM, et al. P-wave morphology in focal atrial tachycardia: development of an algorithm to predict the anatomic site of origin. J Am Coll Cardiol 2006; 48(5): 1010-7.
13. Qian ZY, Hou XF, Xu DJ, et al. An algorithm to predict the site of origin of focal atrial tachycardia. Pacing Clin Electrophysiol 2011; 34(4): 414-21.
14. Tada H, Nogami A, Naito S, et al. Simple electrocardiographic criteria for identifying the site of origin of focal right atrial tachycardia. Pacing Clin Electrophysiol 1998; 21(11 Pt 2): 2431-9.
15. Kistler PM, Fynn SP, Haqqani H, et al. Focal atrial tachycardia from the ostium of the coronary sinus: electrocardiographic and electrophysiological characterization and radiofrequency ablation. J Am Coll Cardiol 2005; 45(9): 1488-93.
16. Roberts-Thomson KC, Kistler PM, Haqqani HM, et al. Focal atrial tachycardias arising from the right atrial appendage: electrocardiographic and electrophysiologic characteristics and radiofrequency ablation. J Cardiovasc Electrophysiol 2007; 18(4): 367-72.
17. Kistler PM, Sanders P, Fynn SP, et al. Electrophysiological and electrocardiographic characteristics of focal atrial tachycardia originating from the pulmonary veins: acute and long-term outcomes of radiofrequency ablation. Circulation 2003; 108(16):1968-75.
18. Yamane T, Shah DC, Peng JT, et al. Morphological characteristics of P waves during selective pulmonary vein pacing. J Am Coll Cardiol 2001; 38(5): 1505-10.
19. Kistler PM, Sanders P, Hussin A, et al. Focal atrial tachycardia arising from the mitral annulus: electrocardiographic and electrophysiologic characterization. J Am Coll Cardiol 2003; 41(12):2212-9.
20. Man KC, Chan KK, Kovack P, et al. Spatial resolution of atrial pace mapping as determined by unipolar atrial pacing at adjacent sites. Circulation 1996; 94(6): 1357-63.
21. Kalman JM, Olgin JE, Karch MR, et al. "Cristal tachycardias":origin of right atrial tachycardias from the crista terminalis identified by intracardiac echocardiography. J Am Coll Cardiol 1998; 31(2): 451-9.
22. Wong MC, Kalman JM, Ling LH, et al. Left septal atrial tachycardias:Electrocardiographic and electrophysiologic characterization of a paraseptal focus. J Cardiovasc Electrophysiol 2013; 24(4):413-8.
23. Ouyang F, Ma J, Ho SY, et al. Focal atrial tachycardia originating from the non-coronary aortic sinus: electrophysiological characteristics and catheter ablation. J Am Coll Cardiol 2006; 48(1): 122-31.
24. Medi C, Kalman JM. Prediction of the atrial flutter circuit location from the surface electrocardiogram. Europace 2008; 10(7): 786-96.
25. Olgin JE, Kalman JM, Fitzpatrick AP, et al. Role of right atrial endocardial structures as barriers to conduction during human type I atrial flutter. Activation and entrainment mapping guided by intracardiac echocardiography. Circulation 1995; 92(7): 1839-48.
26. Kalman JM, Olgin JE, Saxon LA, et al. Activation and entrainment mapping defines the tricuspid annulus as the anterior barrier in typical atrial flutter. Circulation 1996; 94(3): 398-406.
27. Wells JL, Jr., MacLean WA, James TN, et al. Characterization of atrial flutter. Studies in man after open heart surgery using fixed atrial electrodes. Circulation 1979; 60(3): 665-73.
28. Feld GK, Fleck RP, Chen PS, et al. Radiofrequency catheter ablation for the treatment of human type 1 atrial flutter. Identification of a critical zone in the reentrant circuit by endocardial mapping techniques. Circulation 1992; 86(4): 1233-40.
29. Chugh A, Latchamsetty R, Oral H, et al. Characteristics of cavotricuspid isthmus-dependent atrial flutter after left atrial ablation of atrial fibrillation. Circulation 2006; 113(5): 609-15.
30. Kalman JM, Olgin JE, Saxon LA, et al. Electrocardiographic and electrophysiologic characterization of atypical atrial flutter in man:use of activation and entrainment mapping and implications for catheter ablation. J Cardiovasc Electrophysiol 1997; 8(2): 121-44.
31. Saoudi N, Nair M, Abdelazziz A, et al. Electrocardiographic patterns and results of radiofrequency catheter ablation of clockwise type I atrial flutter. J Cardiovasc Electrophysiol 1996; 7(10): 931-42.
32. Cheng J, Cabeen WR, Jr., Scheinman MM. Right atrial flutter due to lower loop reentry: mechanism and anatomic substrates. Circulation 1999; 99(13): 1700-5.
33. Yang Y, Cheng J, Bochoeyer A, et al. Atypical right atrial flutter patterns. Circulation 2001; 103(25): 3092-8.
34. Tai CT, Huang JL, Lin YK, et al. Noncontact three-dimensional mapping and ablation of upper loop re-entry originating in the right atrium. J Am Coll Cardiol 2002; 40(4): 746-53.
35. Yuniadi Y, Tai CT, Lee KT, et al. A new electrocardiographic algorithm to differentiate upper loop re-entry from reverse typical atrial flutter. J Am Coll Cardiol 2005; 46(3): 524-8.
36. Kall JG, Rubenstein DS, Kopp DE, et al. Atypical atrial flutter originating in the right atrial free wall. Circulation 2000; 101(3):270-9.
37. Stevenson IH, Kistler PM, Spence SJ, et al. Scar-related right atrial macroreentrant tachycardia in patients without prior atrial surgery:electroanatomic characterization and ablation outcome. Heart Rhythm 2005; 2(6): 594-601.
38. Snowdon RL, Balasubramaniam R, Teh AW, et al. Linear ablation of right atrial free wall flutter: demonstration of bidirectional conduction block as an endpoint associated with long-term success. J Cardiovasc Electrophysiol 2010; 21(5): 526-31.
39. Jais P, Shah DC, Haissaguerre M, et al. Mapping and ablation of left atrial flutters. Circulation 2000; 101(25): 2928-34.
40. Ouyang F, Ernst S, Vogtmann T, et al. Characterization of reentrant circuits in left atrial macroreentrant tachycardia: critical isthmus block can prevent atrial tachycardia recurrence. Circulation 2002; 105(16): 1934-42.