The role of 3D-high definition mapping systems in treating postoperative drug-resistant intra-atrial reentrant tachycardia
| Autor: | Anna Correra, Berardo Sarubbi, Emanuele Romeo, Giorgio Spiniello, Diego Colonna |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Tachycardia
medicine.medical_specialty Heart disease Radiofrequency ablation Drug resistance 030204 cardiovascular system & hematology Intracardiac injection law.invention Electrocardiography 03 medical and health sciences Electrophysiology study 0302 clinical medicine Refractory law Internal medicine Tachycardia Supraventricular medicine Humans cardiovascular diseases 030212 general & internal medicine medicine.diagnostic_test business.industry Sinus venosus atrial septal defect medicine.disease Pharmaceutical Preparations Catheter Ablation Quality of Life cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Electrocardiology. 62:145-147 |
| ISSN: | 0022-0736 |
| DOI: | 10.1016/j.jelectrocard.2020.07.021 |
| Popis: | We report the case of a patient with recurrent episodes of postoperative intra-atrial reentrant tachycardia occurring after surgical patch closure of a sinus venosus atrial septal defect (SVASD). Arrhythmic episodes, as usually reported in scar-related arrhythmias, were resistant to antiarrhythmic therapy and worsened patient's quality of life. Therefore, we decided to perform an intracardiac electrophysiology study using a 3D-high definition mapping system to identify and treat the precise arrhythmic substrate with radiofrequency ablation. There is a growing evidence that this technique represents a valid therapeutic option in postoperative arrhythmias refractory to medical treatment in patients with repaired congenital heart disease. |
| Databáze: | OpenAIRE |
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